围产儿死亡原因分析及干预措施  

Causes and precautions of perinatal infants’ death

作　　者：梁宏[1] 要跟东[1] 栾玉杰[1] 

机构地区：[1]河北省邯郸市中心医院防保科,河北邯郸056001

出　　处：《现代预防医学》2013年第15期2787-2788,2791,共3页Modern Preventive Medicine

基　　金：邯郸重大科技攻关项目(1113108017)

摘　　要：目的通过对围产儿死亡原因及相关因素分析,提出降低围产儿死亡率的干预措施。方法对2006年1月～2011年12月某院207例围产儿死亡情况进行回顾性分析。结果 6年间围产儿死亡率22.48‰,其中死胎160例占77.29%,死产22例占10.63%,7d内新生儿25例占12.08%;围产儿死亡中农村人口围产儿死亡率高于城市,差异显著;围产儿死亡原因首位是母亲因素(28.98%),第二位是先天畸形(21.26%)。结论提高婚检率及婚检质量,加强优生优育的知识宣传,完善孕期保健系统管理,提高孕妇尤其是基层孕妇文化素质和保健意识,加强基层保健医生业务培训,提高其诊疗水平,加强高危妊娠管理、产前筛查、产前诊断等是降低围产儿死亡的重要措施。OBJECTIVE To analyse the causes and relative factors of perinatal infants’ death, make precautions of reducing the rate of perinatal infants’ death. METHODS Retrospective analysed files regarding 207 cases of perinatal infants’ death ranging from January 2006 to December 2011 in our hospital. RESULTS The rate of perinatal infants’ death was 22.48‰ , including 160 cases of fetal death （77.29%）, 22 cases of stillbirth （10.63%）, 25 cases of new-born dead infants in 7 days （12.08%）. In these cases, the death rate in rural area was obviously higher than those in urban area; the primary cause of perinatal infants’ death was from mothers （ 28.98% ） , followed by the second cause of congenital deformity （ 21.26% ）. CONCLUSION It should increase the rate of pre-marital medical check-up and improve the quality of it, widely disseminate the knowledge of well bear and well rear, improve the management of heath care system when pregency, strengthen the cultural quality and health care awareness of gravidas, especially those in grassroots level, enhance basic health care doctors’ vocational training, improve the standard of dignoses, strengthen significant precautions for reduc ing perinatal infants’ death such as management of high risky pregnancy, pre-natal screening, pre-natal diagnoses.

关 键 词：围产儿死亡 死亡原因 干预 

分 类 号：R195[医药卫生—卫生统计学]