论文部分内容阅读
目的对广州市白云区围产儿死亡相关因素进行分析和总结,探讨围产儿死亡率的变化及其影响因素,为降低围产儿死亡率制定相关的干预措施提供科学依据。方法回顾性分析广州市白云区2001年～2010年共10年间围产儿死亡评审资料。结果共有1653例围产儿死亡,平均死亡率为7.98‰,其中户籍人口为5.4‰,流动人口为8.8%(χ2=57.432,P<0.001);围产儿死亡率呈逐年下降趋势。影响围产儿死亡的因素有:覆盖全民的医疗保障系统不全面、产、儿科诊疗知识技能和医疗系统管理存在薄弱环节、孕期保健意识薄弱,围产保健管理有待加强。结论通过加强政府投入,建立健全孕产妇三级网络保健系统,特别加强对农村地区和流动人口的孕产妇管理;提高医疗机构产、儿科诊疗技能水平;提高产前诊断技术,减少出生缺陷;加强流动人口管理等措施,有效降低围产儿死亡率。
Objective To analyze and summarize the related causes of perinatal death in Baiyun District of Guangzhou City and explore the changes of perinatal mortality rate and its influencing factors so as to provide a scientific basis for the development of related interventions to reduce the perinatal mortality rate. Methods Retrospective analysis of Baiyun District, Guangzhou City from 2001 to 2010, a total of 10 years of perinatal death assessment data. Results A total of 1653 perinatal deaths occurred, with an average mortality rate of 7.98 ‰. Among them, the registered population was 5.4 ‰ and the floating population was 8.8% (χ2 = 57.432, P <0.001). The perinatal mortality rate showed a declining trend year by year. Factors affecting the perinatal death include incomplete coverage of the medical insurance system, weak knowledge of skills in production and pediatric treatment and management of the medical system, weak awareness of health care during pregnancy and perinatal care management need to be strengthened. Conclusions By strengthening government investment, establishing a sound maternal three-level network health care system, in particular to strengthen maternal management in rural areas and floating population; improve production and pediatric medical skills in medical institutions; improve prenatal diagnosis techniques to reduce birth defects; strengthen Floating population management and other measures to effectively reduce perinatal mortality.