摘要
[目的 ] 对社会因素剖宫产临床的有关利弊问题进行客观评价。 [方法 ] 对上海市某综合性医院 1994～2 0 0 2年的剖宫产率进行趋势分析。采用随机抽样和严格配对的方法 ,对最近 3年该院 10 7对社会因素剖宫产与自然产者的有关临床指标进行比较和评价。 [结果 ] 9年来该院剖宫产率呈显著递增趋势 ,2 0 0 2年达 5 7.5 7% ;社会因素剖宫产组产妇的产后出血量、体温、产后住院天数、住院费用及胎儿窘迫症的发生率 ( 11.2 1% )均显著高于自然产组 ;发生新生儿窒息 ( 1.87% )、产后大出血 ( 0 .94% )、手术及麻醉并发症的风险也大于自然产组。 [结论 ] 过高的剖宫产率亟须加以控制。社会因素剖宫产与自然产比较 ,对母、婴健康的危害颇多 ,建议临床上仍应从严掌握 ,尽量避免社会因素剖宫产术。
To evaluate the benefits and detriments of elective caesarian sections. To analyze the trends of the percentage change in caesarians based on stastics of one Shanghai hospital between 1994-2002. Using a random sampling method and strict match between caesarians and natural childbirths to study the 107 paired cases in recent 3 years of the hospital. In the past nine years the percentage of caesarians showed obvious increase. In 2002, it reached 57.57% of total births. The conditions of elective caesarians such as quantity of bleeding, fever after childbirth, length of hospitalization , and hospital outlay, risk for the newborn baby lacking in oxygen(11.21%),babies born with poor respiration(1.87%) were all worse than that of the natural childbirth group. Risk for operation and anaesthesia of elective caesarians was higher than that for natural childbirths. [Conclusion] The increase in elective caesarians should be controlled. The practice of elective caesarians has a bad effect on both mother and baby. Control and avoid elective caesarians are suggested.
出处
《上海预防医学》
CAS
2003年第6期264-266,269,共4页
Shanghai Journal of Preventive Medicine
