[摘要] 目的 观察10年剖宫产指征的变化，分析剖宫产率升高的原因，寻找降低剖宫产率的对策，探讨剖宫产合理应用情况。方法 采用回顾性分析的方法，对1995年1月～2004年12月21685例住院分娩产妇的剖宫产病例资料进行回顾分析。结果 (1)剖宫产率呈逐年升高趋势，1995年为14.53%，2004年为34.10%；(2)1995～2002年剖宫产指征以难产为第一位，而近两年社会因素占第一位。结论 剖宫产率升高主要为无医学指征而剖宫产术增多所致，因此提高对剖宫产的认识、鼓励产妇阴道分娩、正确掌握剖宫产指征是降低剖宫产率的关键。

    [关键词] 剖宫产术；剖宫产指征；回顾性研究

    Analysis on the 10 years changes in the rate and indications for cesarean section

    QIN Yu，LIN Chun-xiao.Family Planning Service Center，Maternity and Child Hospital of Yantian District，Shenzhen 518081，China

    [Abstract] Objective To observe the changes in cesarean section indications over a period of 10 years，analyze the causes of raise of cesarean delivery rate，look for the strategies to lower cesarean rates，and explore the way of accurately use of cesarean section.Methods Retrospective case record analysis.Data from 21685 deliveries between January 1995 and December 2004 were reviewed.Retrospective analysis of cesarean section rates and indications was followed.Results (1)The overall cesarean section rate increased progressively from 14.53%(1995) to 34.10%(2004).(2)Between 1995 and 2002 ......