2019—2022年泉州市围产儿死亡现状分析  

Analysis of Status of Perinatal Death in Quanzhou City from 2019 to 2022

作　　者：朱伟翔 ZHU Weixiang(Quanzhou Women's and Children's Hospital,Quanzhou 362000,China)

机构地区：[1]泉州市妇幼保健院,福建泉州362000

出　　处：《中外医学研究》2024年第13期160-163,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析2019-2022年泉州市围产儿死亡现状。方法:选取2019—2022年泉州市妇幼保健院21332例围产儿。收集围产儿、孕产妇信息。分析围产儿死亡情况及死亡原因。分析不同产妇年龄、产妇居住地、胎儿性别、胎数、胎儿孕周及出生体重围产儿死亡率。分析死亡围产儿妊娠合并症及并发症情况。结果:2019—2022年存活围产儿21076例,死亡围产儿256例(包含死胎死产数233例,新生儿死亡23例),围产儿死亡率为12.0‰。围产儿死亡原因主要为:出生缺陷186例(72.7%)、脐带因素30例(11.7%)、出生窒息18例(7.0%)、早产14例(5.5%)、宫内感染4例(1.6%)。低龄组围产儿死亡率最高,为29.2‰。不同产妇年龄围产儿死亡率比较,差异有统计学意义(P<0.05)。乡村围产儿死亡率约是城镇围产儿死亡率的1.43倍。性别不明的围产儿死亡率明显高于男女性别,差异有统计学意义(P<0.05)。双胎及多胎围产儿死亡率明显高于单胎,差异有统计学意义(P<0.05)。围产儿中早产死亡率明显高于足月、过熟儿,差异有统计学意义(P<0.05)。低体重围产儿死亡率明显高于正常、超常体重围产儿,差异有统计学意义(P<0.05)。256例死亡围产儿中,伴有妊娠合并症或并发症者44例,占17.2%;无合并症或并发症者212例,占82.8%。结论:2019年—2022年泉州市围产儿死亡率呈现逐年增加的趋势,出生缺陷是泉州围产儿死亡的主要原因,根据围产儿死亡相关因素分析(孕妇年龄、胎儿体重、胎数等)结果,开展婚前孕前体检,提高产筛与诊断水平,可以减少出生缺陷发生率,从而降低围产儿死亡率。Objective:To analyze the status of perinatal death in Quanzhou city from 2019 to 2022.Method:A total of 21332 perinatal infants from Quanzhou Women's and Children's Hospital from 2019 to 2022 were selected.The perinatal and maternal information was collected.The perinatal death condition and its causes were analyzed.The perinatal mortality of different maternal ages,places of residence in maternal,fetal sex,number of fetuses,gestational weeks and birth weight in fetus were analyzed.The concurrency symptom and complications of death perinatal pregnancy were analyzed.Result:From 2019 to 2022,there were 21076 live perinatal infants,256 dead perinatal infants(including 233 stillbirths and 23 neonatal deaths),and the perinatal mortality rate was 12.0‰.The main causes of perinatal death were:birth defect in 186 cases(72.7%),umbilical cord factor in 30 cases(11.7%),birth asphyxia in 18 cases(7.0%),preterm birth in 14 cases(5.5%),intrauterine infection in 4 cases(1.6%).The highest perinatal mortality rate was 29.2‰in the younger age group.There was significant difference in perinatal mortality among different maternal ages(P<0.05).The perinatal mortality rate in rural areas is 1.43 times that in urban areas.The perinatal mortality of gender unknown was significantly higher than that of male and female,and the difference was statistically significant(P<0.05).The perinatal mortality of twins and multiple fetuses was significantly higher than that of single fetuses,the difference was statistically significant(P<0.05).The perinatal premature death rate was significantly higher than that of full-term and expired infants,the difference was statistically significant(P<0.05).The perinatal mortality in the low weight group was significantly higher than that in the normal group and super weight group,and the difference was statistically significant(P<0.05).Among 256 perinatal deaths,44 cases(17.2%)were associated with pregnancy complications.There were 212 cases(82.8%)without complications.Conclusion:From 2019 to 2022,the peri

关 键 词：围产儿死亡 出生缺陷 保健管理 

分 类 号：R195[医药卫生—卫生统计学]