北京市西城区339例围产儿死亡分析
Analysis of 339 cases of perinatal deaths of Xicheng District, Beijing
邵文杰 1杜晓娜1
作者信息
- 1. 北京市西城区疾病预防控制中心,100120
- 折叠
摘要
目的 探讨围产儿死亡主要原因及降低围产儿死亡率的措施.方法 对2000年10月- 2005年6在西城区全部产科分娩的339例死亡围产儿资料进行回顾性分析.结果 围产儿死亡率14.08‰.死亡围产儿体重＜2500g组明显高于≥2500g组(P＜o.05).造成死亡的原因以母病因素为首位,其中妊娠期高血压疾病占74.42％,且子痫前期重度-子痫致死亡明显高于此病其他阶段(P＜o.05)；妊娠期糖尿病81.82％在34周以前发生围产儿死亡.致围产儿死亡的出生缺陷类型顺位依次为心脏畸形,多发畸形,神经管畸形,唇裂合并腭裂等.结论 母病因素是导致围产儿死亡的首因,出生缺陷成为造成围产儿死亡的主要因素,胎儿生长发育与妊娠结局有密切关系.加强孕产期保健与管理,普及优生优孕知识,科学地进行孕产期母儿监测与监护,做好孕产期母儿疾病与预后的客观评估,早发现、早治疗妊娠期合并症及并发症,可以降低围产儿死亡发生.同时,发挥政府管理职能,是降低围产儿死亡的关键环节.
Abstract
Obstractive; To probe the main reason of perinatal death and measures to reduce perinatal mortality. Method: 399 cases of perinatal infants mortality from all midwifery institutions of Xicheng District during October 2000 and Jun 200S were analyzed retrospectively. Results: The rate of perinatal mortality was 14.08%. The mortality rate of perinatal infant in group one (weight less than 2500g) obviously higher than the rate of perinatal in group two (weight greater than or equal to 2500g) (P<0.05). The primary reason of perinatal mortality was mother factors and among these factors 74.42% was gestational hypertension disease. The mortality rate of severe preeclampsia was significantly higher than other stages of eclampsia (P<0.05). Of gestational diabetes, 81. 82% of perinatal infant death happened before 34 weeks. The main birth defects which caused perinatal mortality in proper sequence were cardiac anomalies, multiple malformations, neural tube malformation, Harelip merger with cleft palate etc. Conclusion- Mother factors were the primary reason of perinatal infant mortality and the main reason was birth defect. Fetal growth had close relationship with the pregnancy outcome. To reduce perinatal mortality, we should pay more attention to strengthen maternal care and administration, to popularize eugenic and superior nurture knowledge, to monitor and tutelage scientifically the mother and child during pregnancy and intrap-artum period, to asses objectively the disease and prognosis of mother and child during pregnancy and intrapartum period, to early detect and early treat the complications during pregnancy. Meanwhile, the role of government management function is the key link of perinatal infant death reduces.
关键词
围产儿/死亡率/死亡原因/措施Key words
Perinatal infant/Mortality rate/Cause of death/Measures引用本文复制引用
出版年
2012
NETL
NSTL
维普
万方数据