摘要
目的 探讨剖宫产率及剖宫产指征变迁对围产儿死亡率的影响。方法 对 10年间剖宫产病例资料进行回顾分析。结果 1993至 1997年剖宫产率为 3 0 .3 4% ,显著低于 1998至 2 0 0 2年的 45 .3 0 % ,两者比较差异有极显著性 (P <0 .0 1)。在剖宫产指征中 ,妊娠并发 (合并 )症始终处于第 1位 ,社会因素上升为第 2位 ,头盆不称为第 3位 ,胎儿窘迫为第 4位。围产儿死亡率 1993至 1997年为 16.85‰ ,1998至 2 0 0 2年为 17.79‰ ,两者比较 ,差异无显著性 (P >0 .0 5 )。结论 剖宫产率升高在一定范围内降低了围产儿死亡率 ,但随着剖宫产率的进一步升高 ,围产儿死亡率并未随之下降。因此 ,应合理掌握剖宫产指征 ,降低剖宫产率。
Objective To explore the effects of cesarean section rate and changes of cesarean section indications on the perinatal mortality rate. Methods Data from 3 635 patients undergoing cesarean section in our hospital from January 1993 to December 2002 were analyzed retrospectively. Results The cesarean section rate in 1993-1997 was 30.34%, significantly lower than that in 1998-2002 (45.3%, P<0.01). In the cesarean section indications, complications of pregnancy, social factors, malposition, and fetal distress were at the first, second, third, and fourth place, respectively. The perinatal motality rate in 1993-1997 (16.85‰) was not significantly different from that in 1998-2002 (17.79‰) (P>0.05) Conclusion The increased cesarean section rate can reduce the perinatal mortality rate within a certain range, but further rise of cesarean section rate does not result in the corresponding decrease of the perinatal mortality rate. Therefore, we should have a good grasp of cesarean section indications and decrease cesarean section rate.
出处
《局解手术学杂志》
2004年第3期165-166,共2页
Journal of Regional Anatomy and Operative Surgery
