2018-2022年福建省泉州市围产儿死亡影响因素分析  

Factors associated with perinatal death in Quanzhou,Fujian,2018−2022

作　　者：朱楚玲 林丽卿 林英英 ZHU Chu Ling;LIN Li Qing;LIN Ying Ying(Quanzhou Women and Children’s Hospital,Quanzhou 362000,Fujian Province,China;Fujian Maternity and Child Health Hospital,Fuzhou 350010,Fujian Province,China)

机构地区：[1]泉州市妇幼保健院,福建泉州362000 [2]福建省妇幼保健院,福建福州350010

出　　处：《中国妇幼卫生杂志》2024年第4期11-15,共5页Chinese Journal of Women and Children Health

摘　　要：目的 分析2018-2022年福建省泉州市围产儿死亡原因及影响因素,为制定针对性的干预措施提供依据。方法 收集2018年1月-2022年12月福建省泉州市30所医院的围产儿死亡资料及同期分娩的活产儿资料,采用单因素分析和logistic回归分析法对比分析围产儿死亡的影响因素。结果 2018-2022年泉州市共监测围产儿338 325例,围产儿死亡1 464例,围产儿死亡率为4.33‰。母亲居住地区为乡村(OR=3.956,95%CI:3.257~4.804)、患有妊娠合并症/并发症(OR=3.327,95%CI:2.639~4.194),以及出生缺陷(OR=125.297,95%CI:61.619~254.779)是围产儿死亡的危险因素(均P <0.001);母亲产检次数多是围产儿死亡的保护因素(OR=0.904,95%CI:0.880~0.929)。泉州市围产儿死亡原因前5顺位为出生缺陷、脐带因素、母亲因素、胎盘因素及出生窒息,占围产儿死亡的81.2%。结论 泉州市出生缺陷防控形势依然严峻,应将出生缺陷作为突破口,加强出生缺陷防控知识的普及,减少出生缺陷的发生;同时,应加强围产保健管理,及早识别围产儿死亡高危因素,及时干预,以进一步降低围产儿死亡率。Objective To analyze the causes and factors associated with perinatal death in Quanzhou,Fujian Province from 2018 to 2022,so as to provide evidence for formulating targeted intervention strategies.Methods Data of perinatal death and live birth in 30 hospitals in Quanzhou,Fujian Province were collected from Jan,2018 to Dec,2022,and factors associated with perinatal death were analyzed using the chi-square and logistic regress model.Results A total of 338325 cases of perinatal newborn were monitored in Quanzhou from 2018 to 2022,and 1464 cases of perinatal death were detected.The perinatal mortality rate was 4.33‰.Whose mothers living in rural area(OR=3.956,95%CI:3.257−4.804),having pregnancy complications(OR=3.327,95%CI:2.639−4.194)and with birth defects(OR=125.297,95%CI:61.619−254.779)were risk factors for perinatal death(all P<0.001).Maternal antenatal care was a protective factor for perinatal death(OR=0.904,95%CI:0.880−0.929).Top 5 causes of perinatal death were birth defects,umbilical cord issues,maternal issues,placental issues and birth asphyxia,accounting for 81.2%of perinatal deaths.Conclusion Prevention and control of birth defects in Quanzhou is still challenging.We should take birth defects as the key point of breakthrough,strengthen knowledge dissemination of prevention and control of birth defects to reduce the incidence of birth defects.Meanwhile,perinatal health care management should be improved,high-risk factors of perinatal death should be identified and intervened timely to further reduce perinatal mortality.

关 键 词：围产儿 出生缺陷 死亡 干预措施 

分 类 号：R714.7[医药卫生—妇产科学]