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目的:了解四川省孕产妇死亡率变化趋势、主要死亡原因和变化特征。方法:在全省监测点采用以人群为基础的流行病学调查方法,调查2001～2010年全省孕产妇死亡率、农村与城市孕产妇死亡率差别及主要死亡原因。结果:①2001～2010年全省孕产妇死亡率由66.52/10万下降到39.66/10万,下降幅度为40.38%;农村孕产妇死亡率由80.46/10万下降到47.74/10万,下降幅度为40.67%;城市孕产妇死亡率由38.30/10万下降到22.49/10万,下降幅度为41.28%。②全省孕产妇主要死亡原因的前5位分别为产科出血、妊娠期高血压疾病、心脏病、产褥感染、肝脏疾病。结论:2001～2010年四川省孕产妇死亡率呈下降趋势,城市和农村的产科出血死亡率呈下降趋势。
Objective: To understand the trend of maternal mortality in Sichuan Province, the main causes of death and changing characteristics. Methods: A crowd-based epidemiological investigation method was used at the monitoring points in the province to investigate the differences of maternal mortality rate, maternal mortality rate between rural areas and urban areas and the main causes of death in 2001-2010. Results: ①The maternal mortality rate dropped from 66.52 / 100,000 to 39.66 / 100,000 in 2001-2010, a decrease of 40.38%. The maternal mortality rate in rural areas decreased from 80.46 / 100000 to 47.74 / 100,000, a decrease of 40.67%. The urban maternal mortality rate dropped from 38.30 / 100,000 to 22.49 / 100,000, a decrease of 41.28%. ② The leading causes of maternal death in the province were obstetric bleeding, gestational hypertension, heart disease, puerperal infection and liver disease. Conclusion: The maternal mortality rate in Sichuan Province showed a decreasing trend from 2001 to 2010, and the mortality rate of obstetric hemorrhage in urban and rural areas showed a decreasing trend.