2005年中国城市产科新生儿出生状况调查  

A survey of neonatal births in maternity departments in urban China in 2005

作　　者：李娟[1] 王庆红[2] 吴红敏[3] 杨于嘉[2] 杜立中[4] 姚裕家[5] 魏克伦[1] 

机构地区：[1]中国医科大学附属盛京医院儿科,辽宁沈阳110004 [2]中南大学湘雅医院儿科,湖南长沙410008 [3]中国医科大学附属第一医院儿科,辽宁沈阳110001 [4]浙江大学医学院附属儿童医院儿科,浙江杭州310003 [5]四川大学华西二院儿科,四川成都610041

出　　处：《中国当代儿科杂志》2012年第1期7-10,共4页Chinese Journal of Contemporary Pediatrics

摘　　要：目的通过对我国全国范围内在城市医院分娩的新生儿的调查,了解中国城市出生新生儿状况。方法回顾性分析2005年中国22个省市的72家城市医院产科分娩新生儿的围产及新生儿资料,由专人负责并建立数据库。结果 2005年1～12月期间出生的新生儿45722名,新生儿男女性别比为1.13∶1。早产儿发生率为8.1%,极低出生体重儿发生率为0.7%。足月儿中自然受孕占99.7%,辅助生殖占0.3%;早产儿中自然受孕占98.4%,辅助生殖占1.6%。分娩方式:自然分娩占50.8%,剖宫产占49.2%(其中因社会因素剖宫产占38.1%)。新生儿1分钟Apgar评分≤7分者为4.8%,5分钟≤7分者为1.6%。转入新生儿科治疗的新生儿占7.14%。新生儿死亡率为0.74%。结论 2005年我国城市早产儿出生率较2002～2003年增高;我国城市孕妇剖宫产率远高于美国及大多数亚洲国家。Objective To study the epidemiology of births in urban China.Methods A retrospective study was conducted on neonates born in 2005 in the maternity departments of 72 urban hospitals from 22 provinces in China.Results A total of 45722 infants born between January 1,2005 and December 31,2005 were enrolled.The male to female sex ratio was 1.13∶1.Preterm births accounted for 8.1%.The incidence of very low birth weight infants was 0.7%.A total of 99.7% of mothers delivering at term had conceived naturally and 0.3% had experienced assisted reproduction.A total of 98.4% of mothers who delivered preterm had conceived naturally and 1.6% had experienced assisted reproduction.The proportion of vaginal deliveries was 50.8% compared to 49.2% delivered by cesarean sections.Many cesarean sections（38.1%） were due to social factors.Infants with an Apgar score≤7 at 1 minute accounted for 4.8%,and 1.6% of infants had an Apgar score≤7 at 5 minutes.Of all the infants included in the study,7.14% were admitted to neonatal units for treatment.The death rate of all included infants was 0.74%.Conclusions The proportion of preterm births was higher in 2005 than in 2002-2003.The proportion of cesarean section deliveries was much higher in urban China than in most other Asian countries and America.

关 键 词：流行病学调查 中国 新生儿 

分 类 号：R174[医药卫生—妇幼卫生保健]