2002～2011年新疆阿合奇县柯尔克孜族孕产妇及围产儿死亡情况  

Analysis of the condition of Kirgiz maternal and perinatal death between 2002-2011 in Akqi county of Xinjiang province

作　　者：陈瑜[1,2] 杨大维[1,3] 柴艳[1,3] 王丽娟[1,2] 梁正[1,2] 

机构地区：[1]南京医科大学附属无锡妇幼保健院,江苏无锡214002 [2]新疆阿合奇县人民医院 [3]新疆克州阿合奇县妇幼保健站

出　　处：《中国妇幼保健》2013年第24期4016-4018,共3页Maternal and Child Health Care of China

基　　金：新疆克州科学技术委员会科研计划项目〔克科字2013-13-29〕

摘　　要：目的:回顾性分析2002～2011年间新疆阿合奇县柯尔克孜族孕产妇和围产儿死亡的主要高危因素,针对少数民族的特点,制订有针对性的干预措施,有效降低孕产妇及围产儿死亡率。方法:根据2002～2011年阿合奇县柯尔克孜族孕产妇及围产儿死亡监测资料,孕产妇保健情况调查表,采用回顾性方法,对孕产妇和围产儿主要高危因素及死亡率进行汇总统计分析。结果:2002～2011年柯尔克孜族孕产妇死亡率为169.9/10万,围产儿平均死亡率15.7‰,死亡孕妇中住院分娩率低(27.3%);产科出血、新生儿窒息分别是孕产妇和围产儿死亡原因的首位,围产儿死亡与孕妇孕期保健有一定的相关性。结论:提高少数民族育龄妇女的自我保健意识,提倡住院分娩,加强产科绿色通道建设,提高基层医疗机构的产科质量是降低孕产妇及围产儿死亡的重要措施。Objective： To analyze the main risk factors of Kirgiz maternal and perinatal death between 2002 -2011 in Akqi coun- ty, Xinjiang province retrospectively and ethnic characteristics, the targeted measures had been taken to reduce the maternal and perinatal mortality effectively. Methods： The statistic analysis has been taken retrospectively according to Kirgiz maternal and perinata death surveil- lance data between 2002 - 2011 in Akqi County and maternal health status questionnaire. Results： Kirgiz maternal mortality rate was 1 699/ 100 thousand, the average mortality rate of perinatal was 15.7% between 2002 - 2011. Hospital delivery rate of died pregnant women was low （27. 3% ） . Obstetric hemorrhage and asphyxia neonatorum were the leading causes of maternal and perinatal death respectively. There was a certain correlation between perinatal deaths and antenatal care. Conclusion： To improve the awareness of self - care in gravidas, to promote hospital delivery, to strengthen the construction of obstetrics easy access, to improve the obstetrics quality in basic medical institutions, etc are the important measures to reduce the maternal and perinatal death.

关 键 词：柯尔克孜族 孕产妇 围产儿 死亡因素 

分 类 号：R714.7[医药卫生—妇产科学]