目的 探讨剖宫产率上升的影响因素及护理干预对策。方法 选取2013年7月至2015年7月在我院分娩的产妇3320例， 进行回顾性分析，分别统计不同年度的剖宫产率，同时进行对比分析剖宫产率增高的影响因素。结果 2013年-2014 年剖宫产指征构成比主要是胎膜早破、非医学指征的剖宫产、软产道异常；2014年-2015年剖宫产指征构成比主要 是软产道异常、非医学指征的剖宫产、巨大胎儿。两者相比较差异有统计学意义（P<0.05）。2015年总剖宫产率相 比2013年上升了5.4个百分比，两者对比差异有统计学意义（P<0.05）。结论 高剖宫产率的影响因素主要包括医源 性因素和社会因素，并且有逐年上升的趋势，要加强对产妇及家属孕产期的宣教程度，严格把握剖宫产指征，有效 地降低剖宫产率。

Objective To investigate the influencing factors of the increase of cesarean section rate and nursing intervention measures. Methods From Jul. 2013 to Jul. 2015, a total of 3320 parturient women in our hospital were chosen as the clinical objects and their data were retrospectively analyzed. The cesarean section rates in different years were calculated respectively, and at the same time, the influencing factors of the increase of cesarean section rate were analyzed. Results From 2013 to 2014, cesarean section of cesarean section was mainly composed of caesarean section and soft birth canal. In 2014-2015, cesarean section of cesarean section was composed of caesarean section and large foetus, which was mainly abnormal in soft birth canal and non-medical indication. The difference was statistically significant (P<0.05). The total cesarean section rate in 2015 rose 5.4 percentage points compared with 2013, and the difference was statistically significant (P<0.05). Conclusion The influencing factors of high cesarean section rate mainly include iatrogenic and social factors, and the trend is rising year by year. Therefore, in order to effectively reduce cesarean section rate, the propaganda and education for pregnant women and their family members in pregnant and perinatal period should be strengthened, and the indications of cesarean section should be strictly controlled.