摘要
目的：探讨分娩方式的变化对产科质量的影响。方法：收集我院１９９３ 年至１９９７ 年不同分娩方式的资料，计算出剖宫产手术平均每年递增速度和阴道助产平均每年递减速度，同时计算出５ 年中每年产后出血率、新生儿死亡率和新生儿窒息率。结果：统计分析表明我院５ 年中剖宫产率以平均每年１２％ 的速度递增，而阴道助产率以平均每年１３．８４％ 的水平下降。分娩方式变化后，新生儿窒息的发生率１９９７ 年比１９９３ 年明显下降（Ｐ＜ ０．０５），而产后出血率、新生儿死亡率下降不明显（Ｐ＞ ０．０５）。结论：剖宫产率上升，阴道助产率下降，可降低新生儿窒息率，但是不能有效降低母亲产后出血率及新生儿死亡率。
Objective: To search the effect of changing pattern of labor on the obstetric quality. Methods: \{Data about the \}difference patterns of delivery from 1993 to 1997 were collected. The average increasing speed of cesarean section and the decreasing speed of vaginal instrumental delivery were analysed. Meanwhile the rate of postpartum hemorrhage, neonatal fatality and the rate of neonatal asphyxia were counted for five years. Results: From 1993 to 1997, the rate of cesarean section increased on the average speed of 12% every year. The rate of vaginal instrumental delivery decreased on the average speed of 13.84%. With the changing pattern of deivery, the rate of neonatal asphyxia was lower in 1993 than that in 1997 (P<0.05). But differences of the rate of postpartum hemorrhage and neonatal fatality were not significantly lower in 1993 than that in 1997 P>0.05). Conclusion: With increasing rate of cesarean section and decreasing rate of vaginal instrumental delivery, neonatal asphyxia can be decreased, but postpartum hemorrhage and neonatal asphyxia can not be deceased effectively.
出处
《新疆医科大学学报》
CAS
1999年第2期112-113,115,共3页
Journal of Xinjiang Medical University
关键词
阴道助产
产科质量
分娩方式
剖腹产
cesarean section
vaginal instrumental delivery
obstetric quality
