甘南藏族自治州孕产妇死亡率影响因素分析  

Influence factors of maternal mortality in Gannan Tibetan autonomous prefecture

作　　者：刘舒瑜[1] 卫春英 张存莲[3] 陈亚[1] 李芝兰[1] 

机构地区：[1]兰州大学公共卫生学院儿少卫生与妇幼保健学研究所,甘肃兰州730000 [2]甘南藏族自治州妇幼保健院 [3]甘肃省卫生厅

出　　处：《中国公共卫生》2010年第8期951-952,共2页Chinese Journal of Public Health

基　　金：甘肃省卫生厅项目[甘卫妇社发(2008)180号]

摘　　要：目的了解甘肃省甘南藏族自治州孕产妇死亡率及其影响因素,为降低孕产妇死亡率提供科学依据。方法采用回顾性研究方法,对甘南州8个县(市)妇幼保健院2000-2008年死亡状况及影响因素进行分析。结果甘南州孕产妇死亡率由2000年的224.54/10万降至2008年的74.75/10万,下降趋势较为明显(2χ=5.077,P<0.05);产科出血为孕产妇最主要死亡原因;多元线性回归分析结果表明,随着住院分娩率的增加,孕产妇死亡率降低。结论甘南藏族自治州孕产妇死亡率呈逐年下降趋势;孕产妇死亡率随住院分娩率的增加而降低。Objective To understand the maternal mortality and its influence factors in a Tibetan population in Gansu province and to provide information for the decrease of maternal mortality.Methods The retrospective study method was used to analyze the causes and the related factors of maternal mortality in the autonomous prefecture from 2000 to 2008.Results The maternal mortality rate in the population decreased from 224.54/100 000 in 2000 to 74.75/100 000 in 2008,with an significant decreasing trend（χ2 = 5.077,P= 0.024）.The leading cause of death in pregnant women was obstetric hemorrhage.With the increasing of hospital deliveries,the maternal mortality rate decreased（F= 17.478,P= 0.004）.Conclusion The maternal mortality rate of Gannan Tibetan autonomous prefecture was gradually decreased,but it was still higher than the average maternal mortality rate of Gansu province in the same period.

关 键 词：孕产妇 死亡率 影响因素 

分 类 号：R181.37[医药卫生—流行病学]