兵团1997~2001年婴儿死因调查及监测资料分析

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目的:了解婴儿死亡情况,评价婴儿各种死因的影响,提出防治建议。方法:采用分层随机整群抽样方法调查每一个死亡婴儿,获得婴儿死亡率、死因别死亡专率、期望寿命耗损率等指标,对婴儿各种死因进行描述和分析。结果:兵团婴儿死亡率为26.11‰、新生儿死亡率为18.62‰、早期新生儿死亡率为14.66‰。1997~2001年5年间婴儿死亡率有所下降。婴儿死因顺位前8位分别是产伤与窒息、先天性疾病、胎儿其他疾病、早产与胎儿低体重、呼吸系统疾病、母体异常、意外伤害和传染病与寄生虫病,死亡率分别为9.81‰、3.77‰、2.83‰、2.26‰、1.82‰、1.70‰、1.45‰和0.94‰。师直婴儿死亡率为35.84‰,团场为23.06‰,师直高于团场。师直与团场死因顺位明显不同,师直高于团场的死因分别为产伤与窒息、胎儿其他疾病、早产与低体重和母体异常;团场高于师直的死因分别为呼吸系统疾病和意外伤害。婴儿死亡对期望寿命的耗损率为2.67%。结论:应加强妇幼保健工作质量和接生的技术水平,师直与团场根据不同特点开展妇幼保健工作。推广实施综合监测工作。 OBJECTIVE: To understand the infant mortality, evaluate the impact of infant death causes and put forward the prevention and treatment suggestions. Methods: A stratified randomized cluster sampling method was used to investigate each infant infant and obtain infant mortality rate, specific mortality rate of death cause, life expectancy loss rate and other indicators to describe and analyze various causes of death in infants. Results: Corps infant mortality rate was 26.11 ‰, neonatal mortality was 18.62 ‰, early neonatal mortality was 14.66 ‰. Infant mortality declined during the five years from 1997 to 2001. The top eight causes of infant death were birth trauma and asphyxia, congenital diseases, other fetal diseases, premature birth and fetal low birth weight, respiratory diseases, maternal abnormalities, accidental injuries and infectious diseases, parasitic diseases and death rates were 9.81 ‰, 3.77 ‰, 2.83 ‰, 2.26 ‰, 1.82 ‰, 1.70 ‰, 1.45 ‰ and 0.94 ‰. Teacher direct infant mortality rate was 35.84 ‰, 23.06 ‰ field, straight higher than the field. The rankings of divorce and divorce were significantly different. The cause of divorce was higher than that of the regiment. The causes of death were as follows: birth trauma and suffocation, other fetal diseases, premature birth and low birth weight and maternal abnormalities respectively. Illness and accidental injuries. The loss rate of infant death to life expectancy is 2.67%. Conclusion: The quality of maternal and child health care work and the technical level of delivery should be strengthened. Teachers and groups should carry out maternal and child health care work according to different characteristics. Promote the implementation of integrated monitoring.
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