2011—2020年上海市浦东新区围生儿不良妊娠结局情况分析  

Analysis of adverse perinatal outcomes in Pudong New Area,Shanghai from 2011 to 2020

作　　者：严晟 朱美芬 施君瑶 关蔚 季玉琴 蒋美芳 YAN Sheng;ZHU Meifen;SHI Junyao;GUAN Wei;JI Yuqin;JIANG Meifang(Shanghai Pudong Center For Women and Children’s Health,Shanghai 201399,China)

机构地区：[1]上海市浦东新区妇幼保健中心,上海201399

出　　处：《中国优生与遗传杂志》2023年第11期2324-2328,共5页Chinese Journal of Birth Health & Heredity

基　　金：上海市浦东新区科技发展基金(PKJ2021-Y60);上海市浦东新区第二轮医学学科建设项目(PWYgts2021-02)。

摘　　要：目的分析上海市浦东新区2011—2020年围生儿不良妊娠结局的分布、发生率及变化情况,探讨可能的影响因素,为制定相应的干预措施提供依据。方法回顾分析2011—2020年浦东新区所有助产医疗机构上报的产科工作情况报表中围生儿不良妊娠结局情况。结果2011—2020年浦东新区围生儿不良妊娠结局发生率分别为:死亡率3.55‰、巨大儿6.04%、早产6.95%、低出生体质量4.96%、出生缺陷149.02‰。十年间,围生儿死亡率和巨大儿发生率分别下降58.13%和21.20%,早产、低出生体质量和出生缺陷报告率分别增加54.24%、41.95%和155.05%。其中,本市户籍围生儿死亡率、巨大儿发生率明显低于非本市户籍(P<0.05),而早产发生率、低出生体质量发生率及出生缺陷报告率则高于非本市户籍(P<0.05)。结论浦东新区围生儿死亡率持续降低,已达到发达国家水平;巨大儿、早产和低出生体质量的预防保健能力需进一步提高;应不断优化医疗保健资源配置,强化三级预防保健体系建设,从而降低围生儿不良妊娠结局发生,提高出生人口素质。Objective To analyze the distributions,incidences and changes of adverse perinatal outcomes in Pudong from 2011 to 2020,and to explore the possible influencing factors for providing a basis for formulating intervention measures.Methods The adverse perinatal outcomes in the obstetrical work reports reported by all midwifery medical institutions in Pudong from 2011 to 2020 were retrospectively analyzed.Results The incidences of adverse outcomes of perinatal infants in Pudong from 2011 to 2020 were:Perinatal mortality(3.55‰),macrosomia(6.04%),premature infants(6.95%),low birth weight(4.96%),birth defects(149.02‱).In the past decade,the perinatal mortality and the incidence of macrosomia decreased by 58.13%and 21.20%respectively,while the reporting rates of premature infants,low birth weight and birth defects increased by 54.24%,41.95%,155.05%respectively.Additionally,the perinatal mortality and the incidence of macrosomia in Shanghai household registration were significantly lower than those in non-Shanghai household registration(P<0.05),while the incidences of premature infants,low birth weight and birth defects were higher than those in non-Shanghai household registration(P<0.05).Conclusion The perinatal mortality rate of Pudong continues to decrease and has reached the level of developed countries.The ability of prevention and health care for macrosomia,premature birth and low birth weight needs to be further improved.We should constantly optimize the allocation of medical and health care resources and strengthen the construction of tertiary prevention and health care system,so as to reduce the incidences of adverse outcomes of perinatal infants and improve the quality of the birth population.

关 键 词：围生儿不良妊娠结局 围生儿死亡 早产 巨大儿 出生缺陷 

分 类 号：R714.2[医药卫生—妇产科学]