黄崇梅等

【摘 要】目的：分析我国剖宫产率居高不下的原因，探讨应用气囊仿生助产技术对降低剖宫产率的可行性。方法：对我院未应用气囊仿生助产术前和已使用气囊仿生助产术后在我院分娩的孕产妇，从剖宫产指征、剖产率两方面进行回顾性对照研究。结果：未应用气囊仿生助产术前剖宫产指征中社会因素占56%，医学指征占44%，剖宫产率50%。应用气囊仿生助产术后社会因素占36%，医学指征占64%，剖宫产率下降至35%。讨论：运用气囊助产在分娩过程中缩短产程，减少会阴裂伤等优势。明显减少了剖宫产的社会因素指征，使剖宫产率明显下降。所以气囊仿生助产术是降低剖宫产率的有效措施，值得推广。

【关键词】气囊仿生助产；剖宫产指征；剖宫产率；社会因素；降低

【文章编号】1004-7484（2014）06-3431-01

The main function of bionic air-bag midwifery skill reducing cesarean section rate

Huang Chong Mei Wang Ying He Lin Qing Zhang Qi

（China MCC5 Group Corp. Ltd. Hospital Chengdu Sichuan 610051）

【Abstract】Objective： To analyze the reason of high cesarean section rate in our country， to investigate the feasibility of applying bionic air-bag midwifery skill to reduce cesarean section rate. Methods： We use the indication of cesarean section and cesarean section rate to undertake retrospective study about the differences of puerperal women in our hospital who apply bionic air-bag midwifery skill or not. Results： In the indication of cesarean section that puerperal women did not apply bionic air-bag midwifery skill， social factors account for 56% and medical indication accounts for 44%.The cesarean section rate is 50%.However， In the indication of cesarean section that puerperal women apply bionic air-bag midwifery skill， social factors account for 36% and medical indication accounts for 64%.The cesarean section rate drop to 35%.Discussion：Applying bionic air-bag midwifery skill have many advantages such as shortening the stage of labor during delivery and reducing perineal laceration. It makes the social factors of cesarean section and cesarean section rate decline obviously. In summary， bionic air-bag midwifery skill is an effective measure to reduce cesarean section rate and deserves popularity.

【Key words】bionic air-bag midwifery；the indication of cesarean section；cesarean section rate；social factors；reduce

近年來我国剖宫产比率居高不下。目前大多数医院报道为40%-60%，有的医院甚至超过了70%[1]，而剖宫产中大多数是因社会因素而非医学指征所行的剖宫产，已严重的影响了女性的生殖健康。也引起了国际国内的高度重视，降低剖宫产率已刻不容缓。本文就近4年来在我院分娩的数千例孕产妇，从剖宫产指征的统计分析，探讨应用气囊仿生助产技术来降低剖宫产的社会因素而达到降低剖宫产率的方法。

1 资料与方法

1.1 资料来源 2008年1月至2012年12月，我院住院分娩总数为3247例，其中未引进气囊仿生助产技术前分娩1694人，已引进气囊仿生助产技术后分娩1553人。

1.2 方法 通过对比推广气囊仿生助产术前后剖宫产比率以及从剖宫产指征中社会因素比率的对比分析，予用χ2检验分析气囊仿生助产术技术对降低剖宫产率的价值。……