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目的了解大同市2005年～2008年围产儿死亡的动态变化、主要原因及其相关因素,并提出相应的干预措施。方法对大同市2005年～2008年的628围产儿死亡监测资料进行回顾性分析,并对其中500例参加省级评审的病例进行总结分析。结果大同市2008年围产儿死亡率较前几年明显下降,死亡原因主要是先天畸形,死亡相关因素评审显示大部分与知识技能有关,尤其是与个人家庭居民团体的知识技能缺乏有关。结论加强健康教育,切实做好孕产妇尤其是高危孕产妇的系统管理,提高产科儿科质量,降低出生缺陷发生率,全社会共同关注母婴健康是降低围产儿死亡率的关键。
Objective To understand the dynamic changes of perinatal deaths, the main causes and their related factors in Datong from 2005 to 2008 and put forward corresponding interventions. Methods The data of 628 perinatal deaths in Datong from 2005 to 2008 were analyzed retrospectively, and the cases of 500 cases participating in provincial accreditation were analyzed. Results The mortality rate of perinatal children in Datong in 2008 was significantly lower than that in previous years. The main cause of death was congenital malformation. The assessment of death-related factors showed that most of them were related to knowledge and skills, especially related to the lack of knowledge and skills of individuals and household groups. Conclusion Strengthening health education, practicing systematic management of pregnant women, especially high-risk pregnant women, improving the quality of obstetrics and pediatric services, and reducing the incidence of birth defects are the keys to reducing the perinatal mortality rate.