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目的分析2008-2013年光明新区围产儿死亡率及其原因,以采取针对性预防措施,降低本地区围产儿死亡率。方法回顾性分析5年光明新区49 123例围产儿报告卡病例资料,并进行汇总统计。结果该地区2008-2013年,平均围产儿年死亡率为6.17‰。其中,新生儿死亡率为0.90‰;死胎或死产死亡率为5.27‰。除2008年外,从2009-2013年中,死亡率呈下降的总趋势(趋势χ2=9.08,P=0.059)。5年间围产儿死因前三位分别为先天畸形(构成比48.18%),不明原因(构成比30.36%),早产儿(构成比8.91%)。结论该地区围产儿年死亡率基本呈下降趋势,先天畸形、不明原因、早产儿是其主要死亡原因,医务人员应加强该地区孕检工作,尽量避免或减少先天畸形、早产儿的发生,同时加强各项医疗技能,尽量探明围产儿死亡原因,为降低该地区围产儿死亡率打下基础。
Objective To analyze perinatal mortality and its causes in Guangming New District during 2008-2013 so as to take targeted preventive measures to reduce perinatal mortality in this area. Methods The data of 49 123 cases of perinatal report card in Guangming New District in 5 years were retrospectively analyzed and summarized. Results The average perinatal mortality rate in this region was 6.17 ‰ in 2008-2013. Among them, the neonatal mortality rate was 0.90 ‰; stillbirth or stillbirth mortality rate was 5.27 ‰. With the exception of 2008, there was a general downward trend in mortality (trend χ2 = 9.08, P = 0.059) from 2009-2013. The first three cases of perinatal death were congenital malformations (48.18%), unexplained causes (30.36%) and premature infants (8.91%), respectively. Conclusions The perinatal mortality rate in this area is basically declining. Congenital malformations and unexplained causes are the main causes of death in preterm infants. Medical staff should strengthen the pregnancy test in this area and try their best to avoid or reduce the incidence of congenital malformations and premature infants. We will step up medical skills and try our best to find out the cause of perinatal death and lay the foundation for reducing perinatal mortality in this area.