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目的 :探讨降低新生儿死亡率的医疗、保健工作重点。方法 :对 1476 9例住院新生儿疾病谱、死因谱等进行统计分析。结果 :住院男性例数高出女性 2 .4倍。住院疾病谱 90年代中期和 80年代中期比较一致性差 ,差异有显著性意义。早产儿、L BWI、出生≤ 3d者为死亡新生儿中的半数以上。住院病死率由 2 5 .5 %下降至 10 .8% (P<0 .0 1) ,90年代中期与各个分期死因谱比较一致性高。 HIE、硬肿症、肺炎、腹泻、败血症和溶血症病死率下降。结论 :要加强早产低体重儿的监护管理水平 ,改善女婴、女童的医疗保健服务条件 ,控制感染性疾病和产伤性疾病。
OBJECTIVE: To explore the medical and health care priorities for reducing neonatal mortality. Methods: 14769 hospitalized neonates with disease spectrum, cause of death spectrum for statistical analysis. Results: The number of hospitalized men was 2.4 times higher than that of women. Inpatient disease spectrum in the mid-90s and mid-80s relatively poor consistency, the difference was significant. Preterm children, L BWI, birth ≤ 3d were more than half of newborns who died. In-hospital mortality decreased from 25.5% to 10.8% (P <0.01), and in the mid-1990s there was a high degree of consistency with the causal spectrum of each stage. HIE, scleredema, pneumonia, diarrhea, sepsis and hemolytic disease mortality decreased. Conclusion: We should strengthen the supervision and management of premature low-birth-weight infants, improve the medical and health service conditions for infants and girls, and control the infectious diseases and the traumatic diseases.