2013~2022年围产儿死亡率的变化趋势及原因分析  

Change trend and cause analysis of perinatal mortality from 2013 to 2022

作　　者：陈燕玲 刘圣英 许瑾瑾 CHEN Yan-ling;LIU Sheng-ying;XU Jin-jin(Guangming District Maternal and Child Health Hospital,Shenzhen 518107,China)

机构地区：[1]深圳市光明区妇幼保健院,518107

出　　处：《中国现代药物应用》2024年第12期33-36,共4页Chinese Journal of Modern Drug Application

基　　金：光明区科技创新局区级课题资助项目(项目编号:2020R01049)。

摘　　要：目的分析深圳市光明区2013~2022年围产儿死亡率的变化趋势及死亡原因,为降低围产儿死亡率提供一定理论依据。方法对深圳市光明区2013~2022年10年间的围产儿资料及其死亡情况进行回顾性分析。结果深圳市光明区10年间围产儿94389例,围产儿死亡371例,死亡率为3.93‰,10年间围产儿年死亡率波动于2.29‰~5.18‰,围产儿死亡率基本呈下降趋势。经多因素Logistic回归分析:孕母年龄<20岁、孕母学历初中及以下、分娩孕周<37周和出生缺陷是围产儿死亡的危险因素(P<0.05)。结论深圳市光明区2013~2022年围产儿死亡率呈逐年下降趋势,孕母年龄<20岁、孕母学历初中及以下、分娩孕周<37周和出生缺陷是影响深圳市光明区围产儿死亡的危险因素,因此为了有效降低围产儿死亡率,需加强健康宣教,提高群众健康素养,提倡优生优育,按时产检,及时做产前筛查与产前诊断,加强出生缺陷防控,避免早婚早育,避免严重胎儿畸形进入围生期,从而降低围产儿死亡率。Objective To analyze the trend of perinatal mortality and the causes of death from 2013 to 2022 in Guangming District,Shenzhen,so as to provide a theoretical basis for reducing perinatal mortality.Methods A retrospective analysis was performed on perinatal data and their deaths from 2013 to 2022 in Guangming District,Shenzhen.Results There were 94389 cases of perinatal infants,371 cases of perinatal death,with a mortality rate of 3.93‰in Guangming District,Shenzhen in 10 years,and the perinatal mortality fluctuated from 2.29‰to 5.18‰in 10 years,and the perinatal mortality was generally on a downward trend.Multivariate Logistic regression analysis showed that maternal age<20 years,maternal education junior high school or below,gestational age of delivery<37 weeks,and birth defects were risk factors for perinatal mortality(P<0.05).Conclusion The perinatal mortality is decreasing year by year from 2013 to 2022 in Guangming District,Shenzhen,and maternal age<20 years,gestational age of delivery<37 weeks,maternal education junior high school or below and birth defects are the main risk factors for perinatal mortality in Guangming District,Shenzhen.Therefore,in order to effectively reduce perinatal mortality,it is necessary to strengthen health education,improve the health literacy of the masses,advocate eugenics,timely prenatal examination,timely prenatal screening and prenatal diagnosis,strengthen the prevention and control of birth defects,avoid early marriage and early childbearing,and avoid severe fetal malformations entering the perinatal period,so as to reduce perinatal mortality.

关 键 词：围产儿死亡率 危险因素 出生缺陷 

分 类 号：R714.7[医药卫生—妇产科学]