论文部分内容阅读
目的:探讨抚顺市孕产妇死亡率的变化趋势、死亡原因、构成特点及影响因素。为进一步降低孕产妇死亡率提供有效的干预措施。方法:采用回顾性动态分析方法,对1996～2008年该市47例孕产妇死亡病例进行分析。结果:13年活产数169 576例,平均孕产妇死亡率为27.71/10万。2000年前死亡率呈明显下降趋势,之后5年起伏不定不再下降,2006～2007年出现反弹趋势,2008年死亡率有所控制。近5年来间接产科原因由以往的21.00%明显增到42.86%,死亡病因逐渐呈现出多样性、复杂性、疑难性等特点。前4死因顺位:羊水栓塞、产科出血、妊娠期高血压疾病、妊娠合并心脏病。结论:该市孕产妇死亡率继续稳定下降的难度仍然巨大,必须寻找新的突破点。加强产科建设(尤其是基层建设),提高医疗保健人员的服务技能,加强健康教育,加强高危人群筛查及管理,加强计划外妊娠、流动人口管理,援助弱势群体,可有效降低孕产妇死亡率。
Objective: To explore the changing trend of maternal mortality rate, causes of death, constitutional characteristics and influential factors in Fushun City. Provide effective interventions to further reduce maternal mortality. Methods: Retrospective dynamic analysis was used to analyze the 47 maternal deaths in the city from 1996 to 2008. Results: The number of live births in 13 years was 169 576, with an average of 27.71 / 100 000 maternal deaths. The mortality rate showed a marked downward trend before 2000, after which the ups and downs of five years did not decrease any more. The rebound tendency was observed in 2006-2007 and the 2008 mortality rate was controlled. Indirect obstetric reasons in the past 5 years significantly increased from 21.00% to 42.86%. The cause of death gradually shows the characteristics of diversity, complexity and difficulty. The first four causes of death: amniotic fluid embolism, obstetric hemorrhage, hypertensive disorders during pregnancy, pregnancy complicated with heart disease. Conclusion: The difficulty of the maternal mortality rate in the city to continue to decline steadily remains huge, and new breakthrough points must be found. Strengthen obstetric construction (especially grassroots construction), improve service skills of health care workers, strengthen health education, strengthen screening and management of high-risk groups, strengthen unplanned pregnancy, management of floating population and assistance to vulnerable groups, which can effectively reduce the maternal mortality rate .