10年围产儿死亡原因分析及干预对策研究

摘要

Objective To analyze the causes of perinatal death from 2003 to 2012 in our hospital and put forward effective intervention measures,in order to provide a scientific basis for reducing perinatal mortality rate.Method Retrospectively analyzed basic information of perinatal death and pregnant women.Results There were 29,409 perinatal babies in total in the past 10 years,and 244 dead perinatal babies,with the mortality of 8.30 ‰.There were 146 cases of perinatal death (59.84％),46 cases of stillbirth (18.85％),and 52 cases of early neonatal death (21.31％).The top 3 causes of perinatal death were birth defect (85 cases,34.84％),fetal factors (65 cases,26.64％),neonatal diseases (41 cases,16.80％) respectively.The perinatal mortality rate from 2008 to 2012 was significantly lower than that from 2003 to 2007 (x2=28.384,P ＜ 0.01).Conclusion The perinatal mortality rate remained at around 5％ in the past 3 years in our hospital.Intervention countermeasures such as strengthening perinatal health care,improving the level of prenatal diagnosis,and preventing birth defects are effective.%目的 分析我院2003至2012年10年间围产儿死亡原因,提出有效的干预对策,为降低围产儿死亡率提供科学依据.方法 回顾性地分析我院围产儿死亡情况及孕妇基本情况.结果 10年间共出生围产儿29 409例,围产儿死亡244例,死亡率为8.30％;其中,死胎146例,占围产儿死亡的59.84％,死产46例,占18.85％;早期新生儿死亡52例,占21.31％.围产儿死亡的前3位原因顺位是出生缺陷(85例,占34.84％)、胎儿因素(65例,占26.64％)、新生儿疾病(41例,占16.80％).2008至2012年组与2003至2007年组比较围产儿死亡率明显下降,经统计x2=28.384,P＜0.01,差异有非常显著的统计学意义.结论 我院围产儿死亡率近3年维持在5％左右,加强围产期保健,提高产前诊断水平,预防出生缺陷,避免出生缺陷儿进入围产期是降低围产儿死亡率的有效对策.