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目的分析剖宫产率和剖宫产指征的相关因素。方法对2009年和2011年两年的剖宫产率、剖宫产指征进行回顾性分析。结果 2011年剖宫产率(32.7%)较2009年(53.8%)明显下降(P<0.01),头盆不称、相对盆头不称、胎儿窘迫、羊水过少、妊娠期高血压疾病仍在两个年度排在前位,但2011年剖宫产率最高是前次剖宫产史,其他各比例均比2009年均有不同程度的下降,差异均有统计学意义(P<0.01)。结论加强高危孕产妇管理,积极治疗妊娠并发症,严格掌握剖宫产指征,可进一步降低剖宫产率。
Objective To analyze the related factors of cesarean section rate and indication of cesarean section. Methods The cesarean section rates and cesarean section indications in two years of 2009 and 2011 were analyzed retrospectively. Results The rate of cesarean section in 2011 (32.7%) was significantly lower than that in 2009 (53.8%) (P <0.01). The incidence of cesarean section was lower than that of 2009 (P <0.01) In the two years ranked the first place, but the highest cesarean section rate in 2011 was the history of the previous cesarean section, the other proportions were lower than in 2009 to varying degrees, the differences were statistically significant (P <0.01) . Conclusion To strengthen the management of high-risk pregnant women, to actively treat the complications of pregnancy and strictly control the indication of cesarean section, the rate of cesarean section can be further reduced.