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1. 重庆医科大学附属第二医院妇产科
2. 重庆医科大学附属第二医院妇产科,重庆,400010
纸质出版日期:2007,
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[1]周虹,钟玲,刘建,常淑芳.剖宫产率及产科质量相关指标的临床分析[J].重庆医科大学学报,2007(04):428-430.
ZHOU Hong, et al. The clinical analysis of the related index of the caesarean section and the obstetric quality[J]. Journal of Chongqing Medical University, 2007,(4):428-430.
目的:对社会因素剖宫产进行临床评价
为提高产科质量提供资料。方法:对我院2003年1 ̄12月的社会因素剖宫产及非社会因素剖宫产的产科质量相关指标进行分析
对1994、1999和2003年剖宫产率、社会因素剖宫产率及产钳助产率进行比较分析。结果:2003年剖宫产率为54.53%
社会因素剖宫产率为16.08%
社会因素剖宫产组在手术时间、术后发热天数、肛门排气时间均高于非社会因素组
差异有显著性(P<0.01);在术中出血量、术后最高体温、新生儿体重和Apgar评分二者无明显差异(P>0.05)。2003年剖宫产率、社会因素剖宫产率及产钳助产率与1994、1999年相比明显升高
具有显著性意义(P<0.01)。结论:社会因素是剖宫产率上升的主要原因
也是手术并发症增加的重要因素。降低社会因素剖宫产率
是产科质量的保证。
Objective:To give clinical evaluation to the caesarean section caused by social factor and get information for raising the quality of obstetric. Methods:The retrospective analysis was practiced on the obstetric quality index of the caesarean section caused by social factor and non-social factors in our institution from 2003.01 to 2003.12. The caesarean birth rate
social factor causing caesarean birth rate and forceps birth rate in 1994
1999 and 2003 in our institution were compared. Results:The caesarean birth rate was 54.53% and the social factor causing caesarean birth rate was16.08% in 2003. The operation duration
postoperative fever days and bowel movement recovery duration of social factor group were longer than those of non-social factor group significantly(P<0.01). There was no difference between the two groups in blood loss in operation
highest postoperative temperature
weight of newborn and Apgar scores(P>0.05). Comparing 2003 with 1994 and 1999
the caesarean birth rate
social factor causing caesarean birth rate and forceps birth rate were different significantly(P<0.01). Conclusion:Social factor played a great role in the increasing caesarean section rate
also an important role in the increasing operation complication. Thus
reducing social factor causing caesarean birth rate can improve obstetric quality.
剖宫产率社会因素产科质量
Caesarean birth rateSocial factorObstetric quality
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