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目的研究分析现代医学中,影响剖宫产率上升的主要因素及其对手术进行指征分析。方法选取珠海市某区2008~2012年近5年来的孕妇作为研究对象,调查其中剖宫产的孕妇的不同因素。对其临床资料进行历史性回顾,对孕妇的手术指征实施对比,对相关结果进行统计分析。结果 5年来珠海市的剖宫产率发生了很大的变化,孕妇的剖宫产率从最低的27.90%上升到53.66%,在2012年有一定的下降趋势。其中因为社会原因引起的剖宫产因素最高,其次是瘢痕子宫、胎儿宫内窘迫、胎位异常、骨产道异常、产力异常等等。结论在指针列表中,社会因素占22.3%,瘢痕子宫占15.7%,临床上降低患者的社会因素、减少子宫瘢痕是降低剖宫产率的主要方法,值得临床上推广。
Objective To study and analyze the main factors that influence the rise of cesarean section in modern medicine and analyze the indications for surgery. Methods Selected pregnant women in a district of Zhuhai during the recent 5 years from 2008 to 2012 as the research object, investigated the different factors of pregnant women in cesarean section. The clinical data of a historic review of the indications for pregnant women compared the implementation of statistical analysis of the relevant results. Results The rate of cesarean section in Zhuhai City changed greatly in the past five years. The rate of cesarean section in pregnant women rose from the lowest 27.90% to 53.66%, with a certain downward trend in 2012. Among them, cesarean section was the most common cause of social causes, followed by scarring of uterus, fetal distress, abnormal fetal position, abnormal bone production, abnormal productivity and so on. Conclusion In the pointer list, social factors accounted for 22.3%, scar uterus 15.7%, clinically reduce the social factors in patients with reduced uterine scar is the main method to reduce cesarean section rate, worthy of clinical promotion.