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对1981年1月~1994年12月在我院分娩的新生儿死亡率及死因分两个阶段进行了回顾性调查。结果,后期与前期相比,总死亡率、早产儿及低体重儿、畸形儿等发生率有统计学意义。分析结果表明,新生儿死亡率自建立围产保健以来有明显下降,死亡原因主要与早产、低出生体重及畸形有关。降低新生儿死亡率与管理制度改革、医护水平提高及孕产妇自身文化素养有密切的关系。强调加强围产保健管理,提高产科质量;降低早产及低体重儿发生率、提高畸形儿孕期检出率是降低新生儿死亡率的关键。
A retrospective survey was conducted in two stages of neonatal mortality and cause of death during January 1981 to December 1994 in our hospital. Results, compared with the early post-term, total mortality, preterm children and low birth weight, deformed children and other incidence was statistically significant. The analysis shows that the neonatal mortality rate has dropped significantly since the establishment of perinatal care. The causes of death are mainly related to premature birth, low birth weight and deformity. Reduce the neonatal mortality rate and the management system reform, improve the level of medical care and maternal self-literacy is closely related. Emphasis on strengthening perinatal care management, improve the quality of obstetrics; to reduce the incidence of preterm and low birth weight children, improve detection rate of deformed children is the key to reducing neonatal mortality.