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【目的】了解河北省新生儿窒息死亡的现状,为政府部门对妇幼卫生工作管理和决策提供科学依据。【方法】对河北省64个新生儿死亡监测点2005年10月1日—2006年9月30日因新生儿出生窒息死亡病例99例进行问卷与现场调查。【结果】77.8%的新生儿出生窒息死亡发生在足月儿。母亲文化程度显著低于父亲(χ2=4.421,P<0.05)。窒息死亡新生儿家庭保健意识差。窒息死亡新生儿所在地区医疗卫生服务状况较差。【结论】应建立系统的预防新生儿出生窒息死亡的工作体系:一是孕妇学校—产科门诊—产房—家庭体系;二是健康教育—观察—识别—转送体系;三是培训—观念—知识—救治体系。
【Objective】 To understand the status of death from neonatal asphyxia in Hebei Province and provide scientific basis for the management and decision-making of MCH work by government departments. 【Method】 Ninety-four newborn deaths monitoring sites in Hebei Province were surveyed from October 1, 2005 to September 30, 2006 for 99 deaths due to neonatal asphyxia. 【Results】 77.8% of neonates with asphyxia died in term infants. Maternal education was significantly lower than that of the father (χ2 = 4.421, P <0.05). Asphyxia Death Neonatal Family health awareness difference. Suffocation Death Neonatal health care in the area is poor. 【Conclusion】 A systematic work system should be established to prevent neonatal asphyxial death from death: one is pregnant women school-obstetric clinic-delivery room-family system; the other is health education-observation-recognition-transfer system; Treatment system.