首页|2013~2022年围产儿死亡率的变化趋势及原因分析

2013~2022年围产儿死亡率的变化趋势及原因分析

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目的 分析深圳市光明区 2013~2022 年围产儿死亡率的变化趋势及死亡原因,为降低围产儿死亡率提供一定理论依据.方法 对深圳市光明区 2013~2022 年 10 年间的围产儿资料及其死亡情况进行回顾性分析.结果 深圳市光明区10年间围产儿94389例,围产儿死亡371例,死亡率为3.93‰,10 年间围产儿年死亡率波动于 2.29‰~5.18‰,围产儿死亡率基本呈下降趋势.经多因素Logistic回归分析:孕母年龄<20 岁、孕母学历初中及以下、分娩孕周<37 周和出生缺陷是围产儿死亡的危险因素(P<0.05).结论 深圳市光明区 2013~2022 年围产儿死亡率呈逐年下降趋势,孕母年龄<20 岁、孕母学历初中及以下、分娩孕周<37 周和出生缺陷是影响深圳市光明区围产儿死亡的危险因素,因此为了有效降低围产儿死亡率,需加强健康宣教,提高群众健康素养,提倡优生优育,按时产检,及时做产前筛查与产前诊断,加强出生缺陷防控,避免早婚早育,避免严重胎儿畸形进入围生期,从而降低围产儿死亡率.
Change trend and cause analysis of perinatal mortality from 2013 to 2022
Objective To analyze the trend of perinatal mortality and the causes of death from 2013 to 2022 in Guangming District,Shenzhen,so as to provide a theoretical basis for reducing perinatal mortality.Methods A retrospective analysis was performed on perinatal data and their deaths from 2013 to 2022 in Guangming District,Shenzhen.Results There were 94389 cases of perinatal infants,371 cases of perinatal death,with a mortality rate of 3.93‰ in Guangming District,Shenzhen in 10 years,and the perinatal mortality fluctuated from 2.29‰ to 5.18‰ in 10 years,and the perinatal mortality was generally on a downward trend.Multivariate Logistic regression analysis showed that maternal age<20 years,maternal education junior high school or below,gestational age of delivery<37 weeks,and birth defects were risk factors for perinatal mortality(P<0.05).Conclusion The perinatal mortality is decreasing year by year from 2013 to 2022 in Guangming District,Shenzhen,and maternal age<20 years,gestational age of delivery<37 weeks,maternal education junior high school or below and birth defects are the main risk factors for perinatal mortality in Guangming District,Shenzhen.Therefore,in order to effectively reduce perinatal mortality,it is necessary to strengthen health education,improve the health literacy of the masses,advocate eugenics,timely prenatal examination,timely prenatal screening and prenatal diagnosis,strengthen the prevention and control of birth defects,avoid early marriage and early childbearing,and avoid severe fetal malformations entering the perinatal period,so as to reduce perinatal mortality.

Perinatal mortalityRisk factorsBirth defects

陈燕玲、刘圣英、许瑾瑾

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518107 深圳市光明区妇幼保健院

围产儿死亡率 危险因素 出生缺陷

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(12)