新疆地区孕产妇死亡率变化趋势及影响因素分析  

Analysis on the Change Trend and Influencing Factors of Maternal Mortality Rate in Xinjiang

作　　者：吴淼[1] 刘倩[1] 杨雷 森干[1] WU Miao;LIU Qian;YANG Lei(Xinjiang Medical University, Urumqi 830011, Xiiijiang Uygur Autonomous Region, P.K.C.)

机构地区：[1]新疆医科大学,新疆维吾尔自治区乌鲁木齐830011 [2]新疆德康慈惠健康服务集团股份有限公司,新疆维吾尔自治区乌鲁木齐830012

出　　处：《中国数字医学》2019年第7期103-106,共4页China Digital Medicine

基　　金：自治区科技支疆项目计划项目(编号:2016E02082)~~

摘　　要：目的:为进一步降低新疆地区孕产妇死亡率,为相关部门提供科学的分析方法和正确的参考依据,分析了新疆近十余年孕产妇的死亡变化趋势和相关影响因素,计算出各影响因素的偏回归系数,建立回归方程。方法:利用Excel和SPSS21.0软件,对《中国卫生统计年鉴》和《中国卫生与计划生育统计年鉴》中采集的数据进行卡方检验,分析新疆地区孕产妇的死亡变化趋势;利用Spearman秩相关分析找出影响因素;利用多元线性回归分析计算各影响因素的偏回归系数并建立多元线性回归方程。结果:2004-2015年新疆地区孕产妇的死亡率从最高的123.7/10万人降至最低33.80/10万人,建卡率、系统管理率、产前检查率、住院分娩率、产后访视率、新法接生率、高危产妇比重这7个指标和孕产妇死亡率呈显著负相关,新法接生率的偏回归系数是-5.698, P<0.01,具有统计学意义。结论:随着卫生部门对孕产妇工作的重视程度逐年提升,孕产妇的死亡率逐年走低,但也有反弹现象,有关管理部门应结合分析结果有的放矢,制定相应的政策,进一步促进新疆地区孕产妇保健卫生事业的发展。Objective: To further reduce the maternal mortality rate in Xinjiang and provide scientific analysis methods and correct reference basis to relevant departments, this paper analyzes the change trend of maternal mortality rate and related influencing factors in Xinjiang in the last decade, calculates the partial regression coefficients of each influencing factor, and establishes the regression equation. Methods: Excel and SPSS 21.0 software are used for chi-square test of data collected from China Health Statistical Yearbook and China Health and Family Planning Statistical Yearbook to analyze the change trend of maternal mortality rate in Xinjiang;Spearman rank correlation analysis is used to find out the influencing factors;and the multiple linear regression analysis is used to calculate the partial regression coefficients of influencing factors and establish the multiple linear regression equation. Results: From2004 to 2015, the maternal mortality rate in Xinjiang decreased from 123.7/100,000 people to 33.80/100,000 people. The registration rate, system management rate, prenatal examination rate, in-hospital delivery rate, visit rate after delivery, in-hospital delivery rate, the delivery rate with new method and the proportion of lying-in women are negatively correlated with the maternal mortality rate. The partial regression coefficient of the delivery rate with new method is-5.698(P <0.01), which is statistically significant. Conclusion:With the increasing attention paid to maternal work by the health department in our region, the maternal mortality rate is decreasing year by year, but there is also a rebound phenomenon. The relevant management departments should make corresponding policies to further promote the development of maternal health care in our region based on the analysis results.

关 键 词：孕产妇死亡率 变化趋势 影响因素 

分 类 号：R714[医药卫生—妇产科学]