2007-2018年新疆地区孕产妇死亡率变化趋势及影响因素分析  

Changing trends in maternal mortalities and their influencing factors in Xinjiang region,2007-2018

作　　者：汪金鹏[1] 张文婕 王小丽 马忠华[1] WANG Jin-peng;ZHANG Wen-jie;WANG Xiao-li;MA Zhong-hua(National Center for Women and Children’s Health,Chinese Center for Disease Control and Prevention,Beijing 100089,China;Maternal and Child Health Hospital of Xinjiang Uygur Autonomous Region,Urumqi,Xinjiang 830002,China)

机构地区：[1]中国疾病预防控制中心妇幼保健中心,北京100089 [2]新疆维吾尔自治区妇幼保健院,新疆乌鲁木齐830002

出　　处：《实用预防医学》2021年第6期688-691,共4页Practical Preventive Medicine

摘　　要：目的分析新疆地区2007-2018年孕产妇死亡率变化趋势及影响因素,为进一步降低孕产妇死亡率提供科学依据。方法对新疆2007-2018年孕产妇死亡率、主要死因和孕产期保健服务情况进行描述,Spearman秩相关分析孕产妇死亡率与孕产期保健服务指标相关性,偏最小二乘回归分析孕产妇死亡率影响因素。结果新疆孕产妇死亡率从2007年73.7/10万下降到2018年26.8/10万,年均下降率8.78%。孕产期保健服务指标呈逐年上升趋势(P<0.01)。孕产妇死亡率与各项孕产期保健服务指标呈负相关,前三位分别为住院分娩率(r=-0.945,P<0.001),产前检查率(r=-0.933,P<0.001),产后访视率(r=-0.901,P<0.001)。住院分娩率是孕产妇死亡率最大的影响因素,其次是产前检查率。结论新疆孕产妇死亡率呈下降趋势,但仍然处于较高水平。进一步降低孕产妇死亡率需要提高产科系统管理服务质量,加强孕产妇高危预警和分级管理,提高基层人员技术水平,加强孕产妇产前检查和住院分娩工作。Objective To analyze the changing trends and influencing factors of maternal mortalities in Xinjiang region from 2007 to 2018,and to provide scientific evidence for further decrease of the maternal mortality.Methods We described the maternal mortalities,major causes of deaths and status of maternal healthcare services in Xinjiang region from 2007 to 2018.Spearman rank correlation was used to analyze the association between the maternal mortalities and the indictors of maternal healthcare services.Partial least squares regression was used to analyze factors affecting the maternal mortalities.Results The maternal mortalities decreased from 73.7/100,000 in 2007 to 26.8/100,000 in 2018 in Xinjiang region,with the average annual reduction rate of 8.78%.The indicators of maternal healthcare services showed an upward trend year by year(P<0.01).The maternal mortalities were negatively correlated with the indicators of maternal healthcare services,and the top three indicators were the hospital delivery rate(r=-0.945,P<0.001),the antenatal examination rate(r=-0.933,P<0.001)and the postpartum visit rate(r=-0.901,P<0.001).The most influential factor of the maternal mortalities was the hospital delivery rate,followed by the antenatal examination rate.Conclusion The maternal mortalities in Xinjiang region in 2007-2018 displayed a decreasing trend,but still remained at a higher level.It is necessary to improve the systematic management quality of obstetric services,strengthen the early warning and grading management of high-risk pregnancy,improve the technical level of grass-roots medical staff and enhance the work concerning maternal antenatal examination and hospital delivery so as to further decrease the maternal mortality in Xinjiang region.

关 键 词：孕产妇死亡率 孕产期保健 变化趋势 影响因素 

分 类 号：R173[医药卫生—妇幼卫生保健]