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目的:了解青岛市四方区围生儿死亡率及死亡原因,制定干预措施,进一步降低青岛市四方区的围生儿死亡率。方法:对青岛市四方区2001年至2007年围生儿死亡监测资料进行回顾性分析。结果:2001年1月至2007年9月间围生儿死亡110例,占7.03‰,其中死胎死产61例,7天内新生儿死亡49例。围生儿死因前6位依次为畸形、新生儿窒息、早产儿、脐带及胎盘因素、孕妇合并症及并发症、不明原因。死亡率由2001年的9.58‰下降至2007年的7.36‰。结论:加强孕前及孕期保健,及时发现并处理高危妊娠,早期筛查畸形儿,早期处理,不断提高产前诊断质量,提高新生儿复苏技术,重点监护高危新生儿,是进一步降低围生儿死亡率的重要措施。
Objective: To understand the perinatal mortality and the causes of death in Sifang District of Qingdao City and to make intervention measures to further reduce the perinatal mortality rate in Sifang District of Qingdao City. Methods: The data of perinatal death monitoring in Sifang district of Qingdao from 2001 to 2007 were analyzed retrospectively. Results: From January 2001 to September 2007, 110 cases of perinatal death occurred, accounting for 7.03 ‰, of which 61 died from stillbirth and 49 died from newborn within 7 days. The first six cases of perinatal death were deformity, neonatal asphyxia, premature children, umbilical cord and placenta, complications and complications of pregnant women, unknown reasons. The death rate dropped from 9.58 ‰ in 2001 to 7.36 ‰ in 2007. Conclusion: To strengthen the prenatal and prenatal care, timely detection and treatment of high-risk pregnancy, early screening of deformed children, early treatment, continuous improvement of quality of prenatal diagnosis, improve neonatal resuscitation techniques, focusing on monitoring of high-risk neonates, is to further reduce perinatal death Rate of the important measures.