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目的分析定西市新生儿死亡影响因素,制定有效的干预措施,为降低新生儿死亡率提供依据。方法对定西市2011-2015年新生儿死亡评审资料进行回顾性分析研究。筛选其中住院治疗、病历资料比较齐全且经过县级评审的76例病例进行市级死亡评审。结果该地区2011-2015年期间出生活产157 493例,新生儿死亡862例,死亡率为5.47‰。76例参加市级评审的病例中,可避免和创造条件可避免死亡占82.9%。死因顺位为出生窒息、早产或低出生体重、先天异常、颅内出血、败血症,其中出生窒息和早产或低出生体重两项占总死亡数的63.15%。结论加强新生儿危重抢救能力建设,规范助产技术,加强孕期营养指导,加强产儿科协作,提高围产保健服务能力是降低新生儿死亡的关键措施。
Objective To analyze the influential factors of neonatal death in Dingxi City and to develop effective intervention measures to provide the basis for reducing the neonatal mortality rate. Methods Retrospective analysis of 2011-2015 neonatal death assessment data in Dingxi City. Sixty-six cases, including inpatient treatment, complete medical records and county-level reviews, were screened for municipal-level death. Results There were 157 493 live births and 862 neonatal deaths in the area between 2011 and 2015, with a mortality rate of 5.47 ‰. Of the 76 patients who participated in the municipal examination, 82.9% of them could avoid or create conditions to avoid death. The cause of death ranked as birth asphyxia, premature birth or low birth weight, congenital anomalies, intracranial hemorrhage, septicemia, birth apnea and premature birth or low birth weight accounted for 63.15% of the total number of deaths. Conclusion The key measures to reduce the neonatal death rate are to strengthen the capacity building of critically ill newborns, standardize midwifery techniques, strengthen nutrition guidance during pregnancy, strengthen pediatric co-operation and improve perinatal health care services.