国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
5期
733-737
,共5页
周宁%刘传勇%曹梅馨%何玉英
週寧%劉傳勇%曹梅馨%何玉英
주저%류전용%조매형%하옥영
围产儿%出生缺陷%围产保健
圍產兒%齣生缺陷%圍產保健
위산인%출생결함%위산보건
Perinatal fetuses and infants%Birth defects%Perinatal care
目的 分析广州市海珠区2006-2010年5年间围产儿死亡原因,为婚前、孕前和孕早期保健的遗传优生咨询与指导提供科学依据,为降低围产儿死亡率提出干预对策.方法 回顾性分析辖区内各产科医院的的围产儿死亡情况及孕妇基本情况.结果 5年间共有围产儿出生63 596人,死亡围产儿共614例,死亡率为9.7‰；其中,死胎448例(72.96％),早期新生儿死亡129例(21.00％),死产37例(6.00％)；围产儿死亡的前3位死因是出生缺陷225例(36.6％)、胎盘脐带因素131例(21.3％)、母亲孕期疾病59例(9.7％).结论 围产儿死亡中以死胎为主,而导致围产儿死亡的主要原因是出生缺陷.降低围产儿死亡率必须采取综合措施,从加强围产保健意识的宣教、扩大保健的覆盖率,加强和完善社会医疗保障体系,进一步提高产儿科医护人员专业水平和B超影像的诊断率等方面着手,尽可能地降低围产儿死亡率.
目的 分析廣州市海珠區2006-2010年5年間圍產兒死亡原因,為婚前、孕前和孕早期保健的遺傳優生咨詢與指導提供科學依據,為降低圍產兒死亡率提齣榦預對策.方法 迴顧性分析轄區內各產科醫院的的圍產兒死亡情況及孕婦基本情況.結果 5年間共有圍產兒齣生63 596人,死亡圍產兒共614例,死亡率為9.7‰；其中,死胎448例(72.96％),早期新生兒死亡129例(21.00％),死產37例(6.00％)；圍產兒死亡的前3位死因是齣生缺陷225例(36.6％)、胎盤臍帶因素131例(21.3％)、母親孕期疾病59例(9.7％).結論 圍產兒死亡中以死胎為主,而導緻圍產兒死亡的主要原因是齣生缺陷.降低圍產兒死亡率必鬚採取綜閤措施,從加彊圍產保健意識的宣教、擴大保健的覆蓋率,加彊和完善社會醫療保障體繫,進一步提高產兒科醫護人員專業水平和B超影像的診斷率等方麵著手,儘可能地降低圍產兒死亡率.
목적 분석엄주시해주구2006-2010년5년간위산인사망원인,위혼전、잉전화잉조기보건적유전우생자순여지도제공과학의거,위강저위산인사망솔제출간예대책.방법 회고성분석할구내각산과의원적적위산인사망정황급잉부기본정황.결과 5년간공유위산인출생63 596인,사망위산인공614례,사망솔위9.7‰；기중,사태448례(72.96％),조기신생인사망129례(21.00％),사산37례(6.00％)；위산인사망적전3위사인시출생결함225례(36.6％)、태반제대인소131례(21.3％)、모친잉기질병59례(9.7％).결론 위산인사망중이사태위주,이도치위산인사망적주요원인시출생결함.강저위산인사망솔필수채취종합조시,종가강위산보건의식적선교、확대보건적복개솔,가강화완선사회의료보장체계,진일보제고산인과의호인원전업수평화B초영상적진단솔등방면착수,진가능지강저위산인사망솔.
Objective To provide scientific support for premarital,progestational,early pregnant health and eugenic consulting and instruction and to offer intervention measures for lowering perinatal mortality by analyzing the causes of perinatal death in Haizhu district of Guangzhou during 2006 to 2010.Methods The data on perinatal death and general conditions of the pregnant women in the maternity hospitals at Haizhu district were retrospectively analyzed.Results 614 of 63,596 perinatal fetuses and infants who were delivered in the five years were dead,with a mortality rate of 9.7 ‰.There were 448stillbirths,accounting for 72.96％,129 early neonatal deaths ( 21％ ),and 37 deaths during delivery ( 6％ ).The top three causes of perinatal death was birth defects ( 225,or 36.6％ ),abnormality of placenta or umbilical cord ( 131,or 21.3％ ),and maternal diseases ( 59,or 9.7％ ).Conclusions Perinatal death is mainly stillbirth.The major factor leading to perinatal death is birth defects.Comprehensive measures inclunding strengthened education on perinatal health,enlargement of healthcare coverage,and improvement of social health insurance system,and further enhancement of professional skills of medical and nursing staff and improvement of B-ultrasound diagnosis must be taken to reduce perinatal mortality.
