[1]曹奕,张高东,蒋秋静,等.重庆市围产儿死亡情况调查分析[J].第三军医大学学报,2016,38(22):2474-2478.
 Cao yi,Zhang Gaodong,Jiang Qiujing,et al.Analysis of perinatal mortality in Chongqing City[J].J Third Mil Med Univ,2016,38(22):2474-2478.
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重庆市围产儿死亡情况调查分析(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
38卷
期数:
2016年第22期
页码:
2474-2478
栏目:
公共卫生与预防医学
出版日期:
2016-11-30

文章信息/Info

Title:
Analysis of perinatal mortality in Chongqing City
作者:
曹奕张高东蒋秋静肖年周晓军
重庆市妇幼保健院保健部
Author(s):
Cao yi Zhang Gaodong Jiang Qiujing Xiao Nian Zhou Xiaojun

Department of Health Care,Chongqing Institution of Maternal and Child Health, Chongqing 400013 , China

关键词:
围产儿死亡监测干预措施
Keywords:
perinatal mortality monitoring intervention
分类号:
R195.3;R714.43;R722
文献标志码:
A
摘要:

目的      分析2006-2015年重庆市围产儿死亡发生情况,为减少围产儿死亡制定预防保健措施提供科学依据。方法     对2006-2015年孕满28周至产后7 d的围产儿死亡进行监测,观察围产儿死亡发生的动态变化情况。结果     2006-2015年重庆市医院监测围产儿死亡11 039例,死亡率平均为9.07‰,年度间死亡率比较差异有统计学意义(χ2=296.687,P<0.01)。男性围产儿死亡率平均为8.96‰,而女性围产儿死亡率平均为9.20‰;<20岁产妇组、20岁~<35岁产妇组、≥35岁产妇组平均围产儿死亡率分别为14.17‰、7.96‰、16.25‰。2015年重庆市围产儿死亡死因构成前5位分别是出生缺陷(29.78%)、孕母合并症(8.27%)、脐带因素(6.48%)、早产或低出生体质量(4.39%)、胎盘因素(3.80%)。 结论     重庆市迫切需要加强出生缺陷3级预防、提高产前诊断技术,强化孕期保健服务能力建设,从而达到减少围产儿死亡的目的。

Abstract:

Objective       To analyze perinatal mortality in Chongqing from 2006 to 2015 for providing improved preventive care measures in reducing the incidence.  Methods        Perinatal death including fetal death with at least 28 weeks of gestations and infant death occurred less than 7 d after birth from 2006 to 2015 was dynamically monitored and analyzed.   Results       The average perinatal mortality (PMR) in Chongqing from 2006 to 2015 was 9.07  with a total of 11 039 cases, and the PMR was significantly different between years(Chi square=296.687,P<0.01). Compared with female perinatal death (9.20‰), the male was slightly lower (8.96‰). The PMRs in three monitored groups, i.e.<20-year-old puerpera group, 20~35 puerpera group and ≥35-year-old puerpera group, were 14.17‰, 7.96‰ and 16.25‰, respectively. The top 5 causes of perinatal death were birth defects(29.78%), complication of pregnancy(8.27%), umbilical cord factors(6.48%), preterm birth or low birth weight(4.39%) and placental factors(3.80%). Conclusion      It is urgent to prevent birth defects, improve prenatal diagnosis technology, and strengthen the prenatal care service, which leads to reducing perinatal death.
 

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更新日期/Last Update: 2016-11-23