高死亡率地区早产儿死亡的路径分析  

Pathway analysis of premature death in areas with high neonatal mortality rate

作　　者：马艺[1] 李丽娟[1] 

机构地区：[1]中国疾病预防控制中心妇幼保健中心,北京100101

出　　处：《中国妇幼健康研究》2014年第4期560-561,共2页Chinese Journal of Woman and Child Health Research

摘　　要：目的了解高死亡率地区早产儿死亡的死亡路径及就医情况。方法采用典型抽样的方法在新生儿高死亡率地区的4个县开展调查,对死亡早产儿的看护人进行一对一的问卷调查。结果 266例新生儿死亡中有110例(41.4%)为早产儿,这些早产儿平均死亡年龄为2.5天。89.1%的早产儿出生在医疗机构,但是大部分死于家中(45.4%),其次是县级医疗机构(27.3%)。结论加强孕期保健工作,预防旱产发生,提高县级医疗机构对早产儿的护理和抢救水平是降低早产儿死亡率的主要措施。Objective To investigate the pathway of premature death and medical care seeking behavior in areas with high mortality rate. Methods Typical sampling was used in this survey. Four counties with high neonatal mortality rate were sampled out. Caregivers of the premature death were interviewed face-to-face. Results There were 110 preterm births among 266 （41.4%） neonatal deaths. The median death age was 2.5 days. Totally 89. 1% preterm infants were born in health facilities, but most of them died at home （45.4%） and secondly at the county-leveled hospitals （27.3%）. Conclusion Strengthening pregnancy health care, preventing premature birth, and improving premature infant care and rescue level of county medical institutions are the main measures to reduce the mortality of premature infants.

关 键 词：早产 死亡路径 就医行为 新生儿死亡 

分 类 号：R179[医药卫生—妇幼卫生保健]