| 本文已被：浏览 次 下载 次 |
|
|
|
| 144例剖宫产指征分析 |
|
刘立峰1, 李英旭2, 石红1
|
|
1.大连医科大学,第一临床学院,妇产科,辽宁,大连,116011;2.大石桥市中心医院,妇产科,辽宁,大石桥,115100
|
|
| 摘要: |
| 探讨剖宫产率居高不下的原因，为有效地降低剖宫产率提供一定的依据。［方法］ 对2001年9月至2002年3月间住院剖宫产的144例手术指征进行调查分析。［结果］ 7个月的剖宫产率55.8%，臀位剖宫产率90%，胎儿窘迫诊断率26.0%。前三位的剖宫产指征依次是难产、胎儿窘迫以及社会因素。恐惧疼痛、孕妇及家属对分娩时间的特殊要求以及对分娩缺乏信心、担心产程中再手术是主要的剖宫产社会因素。［结论］ 降低剖宫产率的关键是提高产科质量，正确诊断胎儿窘迫；同时要做好孕期宣教，纠正社会上的错误观念，提高社会对剖宫产的正确认识。 |
| 关键词: 剖宫产 剖宫产率 手术指征 |
| DOI：10.11724/jdmu.2004.03.13 |
| 分类号:R719.8 |
| 基金项目: |
|
| Analysis of indications for 144 cases of cesarean section |
|
LIU Li－feng1, LI Ying－xu2, SHI Hong1
|
|
1.Department of Obstetrics and Gynecology, the First Affiliated Hospital of Dalian Medical University, Dalian 116011, China;2.. Department of Obstetrics and Gynecology, the Central Hospital of Dashiqiao City, Dashiqiao 115100, China）
|
| Abstract: |
| To investigate why cesarean section rate always stays high, thereby warrant CS rate decrease effectively. ［Methods］ Indications for 144 cases of CS were analyzed from Sep. 2001 to Mar. 2002. ［Results］ The overall CS rate is 55.8%, CS rate in breech presentation is 90%, and diagnosis rate of fetal distress is 26.0%. Three main CS indications are protracted labor, fetal distress and social factors. The main social factors include fear for pain, pregnant women and their relatives' special requirement for delivery time, their lack of confidence in labor and worry about CS during labor. ［Conclusion］ The key points in decreasing CS rate include improving obstetrical quality and accurate diagnosis for fetal distress, at the same time, we must perform optimal pregnant education, rectify people's incorrect ideas and improve their right understanding about CS |
| Key words: Cesarean section (CS) CS rate Indication for CS |