2006—2015年深圳市龙岗区婴儿死亡情况分析  

Infant deaths of Longgang District of Shenzhen from 2006 to 2015:status quo and influence factors

作　　者：卫国[1] 邢萌萌[1] 任路忠[1] 王志隆[1] WEI Guo XING Meng-meng REN Lu-zhong et al(Department of Child Health Care ,Maternal and Child Health Hospital of Longgang ,Shenzhen, Guangdong 518172, China)

机构地区：[1]广东省深圳市龙岗区妇幼保健院,广东深圳518172

出　　处：《中国农村卫生事业管理》2017年第3期317-320,共4页Chinese Rural Health Service Administration

摘　　要：目的:掌握深圳市龙岗区婴儿死亡率变化趋势及其影响因素,为制定防控策略提供参考依据。方法:利用深圳市龙岗区5岁以下儿童死亡监测网络,对2006-2015年深圳市龙岗区范围内的婴儿死亡数据进行回顾性分析。结果:2006-2015年龙岗区婴儿死亡率、新生儿死亡率分别为3.63‰(1 408/388 181)、2.42‰(941/388 181),早期新生儿死亡占全部新生儿死亡的83.42%。2015年婴儿死亡率、新生儿死亡率在2006年的基础上下降幅度分别为69.48%、81.88%,10年内呈逐渐降低的趋势(P<0.05)。早产或低出生体重、出生窒息位于死因顺位的前2位,10年来先天性心脏病死因构成比呈逐年上升的趋势。结论:加强围产保健管理,规范高危妊娠的监测和三级转诊,提高新生儿复苏水平,提高新生儿疾病救治水平,是降低婴儿死亡的重要措施。Objective To explore the changing trends and the influence factors of mortality rate among children under one year old in Longgang District of Shenzhen and to provide proper reference for future prevention and control. Methods Retrospective analysis was made of the data of infant deaths from 2006 to 2015 drawn from the death surveil- lance network of children under 5 years old in Longgang District of Shenzhen City. Results The infant mortality rate （IMR） and neonatal mortality rate （NMR） in Longgang District were 3. 63‰ （1 408/388 181）and 2. 42‰ （941/ 388 181）respectively. IMR and NMR in 2015 declined 69.48% and 81.88% compared with those in 2006 respectively, which showed a decreasing trend （P〈0.05）. Neonatal deaths within 7 days accounted for 83. 42% of all neonatal deaths. The two main causes leading to neonatal death and infant death were premature or low birth weight and birth asphyxia, and the proportionate mortality ratio of congenital heart disease was increased in ten years. Conclusions The important measures to reduce IMR include to strengthen the management of perinatal health care, to standardize the monitoring of high--risk pregnancy and three referral network, to strengthen the ability of neonatal resuscitation and to improve neonatal disease treatment.

关 键 词：婴儿死亡率 死亡分析 死因顺位 干预措施 

分 类 号：R174[医药卫生—妇幼卫生保健]