影响剖宫产率及剖宫产指征的因素临床分析.doc

影响剖宫产率及剖宫产指征的因素临床分析 目录 TOC \o "1-9" \h \z \u 目录 1 正文 1 文1：影响剖宫产率及剖宫产指征的因素临床分析 1 1 临床资料 2 2 结果 3 3 讨论 4 文2：4年剖宫产率及剖宫产指征的临床分析 5 1资料与方法 6 参考文摘引言： 8 原创性声明（模板） 9 文章致谢（模板） 9 正文 影响剖宫产率及剖宫产指征的因素临床分析 文1：影响剖宫产率及剖宫产指征的因素临床分析 【Abstract】 Objective To make a retrospective study on the change of the rate and indicatio of uterine-incision delivery in the past 13 yea and to explore the measures to lower the rate of and uterine-incision delivery . Methods A retrospective study was made on the term labor cases in obstetrics of our hospital within the last 13 yea . Results ①The rate of uterine-incision delivery increased every year . ②Before 1998, the indication of uterine-incision delivery was difficult labor ,from 1999 to 2002 , the incidence of the fetal distress increased ,while from 2000 ,the social facto influenced more and more and became the leading factor for uterine-incision delivery . ③the neonatal mortality rate didn't decrease as the rate of uterine-incision delivery increased . Conclusio The main reason for the increase of the rate of uterine-incision delivery is the social facto which has nothing to do with the medical indication .Excessive diagnosis of fetal distress 、cephalopelvic disproportion and increase of uterine-incision delivery operatio are important facto too , which come from the will of the pregnant women and the docto preventing from the right choice of ways of delivery . The key to lower uterine-incision delivery is to be strict with the indicatio and to devoid the uterine-incision delivery out of anthropic facto. 【Key words】 uterine-incision delivery rate operation indication correlation factor 剖宫产是处理高危妊娠和异常分娩挽救孕妇和新生儿生命的有效手段［１，２］，近几年来，由于医学的进步，人们观念的变化及医疗行为中诸多因素的介入，剖宫产率逐年升高，剖宫产指征亦发生变化，其中尤以社会因素这一指征升高最为明显。作者就本院13年来剖宫产病例进行回顾性分析，对上述问题进行探讨，为临床降低剖宫产率提供资料。 1 临床资料 一般资料 本院1993年1月至2005年12月的 住院产妇足月分娩的病例共22000例，逐个分析。 方法 应用回顾性分析方法，对上述病例资料进行年分娩总数，剖宫产率，阴道助产及各种剖宫产指征等数据进行回顾性分析、总结。对近2年剖宫产病例进行术后并发症随访。 2 结果 剖宫产率呈逐年增加，1993与2005年相比差异有极显著性（P<）。见表1。