摘要
本文回顾分析我院1979～1988年间的3592例剖宫产和242例围生儿死亡。总剖宫产率为21.6％,总围生儿死亡率为14.56‰,其中死胎、死产与围早期新生儿死亡分别占围生儿死亡总数的52.47％、12.39％与35.12％。经等级相关检验显示近10年剖宫产率上升趋势显著(P<0.005),而围生儿死亡率并未相应下降(P>0.50)。通过剖宫产率上升和围生儿死亡原因的探讨,提出改善两者之间关系的可行手段。
This is a retrospective study of 3 592 oesarean sections parformad in our hospital and 242 perinatal deaths as well in a ten years period from 1979 to 1988. Ceph-alopelvio disproportion and fetal distress constituted the main indications for thaa operation. The overall perinatal mortality rate was 14.56‰, of which 52.47 % were fatal deaths, 12.39% stillbirths and 35.12% neonatal deaths. Eesults showed that the significant increase in oesarean section rate (P<0.005) was not accompanied by a correponding decline in perinatal mortality rate (P>0.50) over the past 10 years. Based upon a scrutiny of factors influencing the rates of cesarean section and perinatal mortality, some measures to improve their relationship are proposed.
出处
《上海医科大学学报》
CSCD
1990年第6期439-442,共4页
Journal of Fudan University(Medical Science)
关键词
剖宫产率
围生儿死亡率
cesarean section rate
perinatal mortaKty rate
correlation
