中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2009年
4期
376-379
,共4页
张水平%宋晓彬%周引荣%相晓妹%钱瑞丽%王艳%梁芳%李世红%郑兴荣%曹朝霞%刘璐%韩蓁
張水平%宋曉彬%週引榮%相曉妹%錢瑞麗%王豔%樑芳%李世紅%鄭興榮%曹朝霞%劉璐%韓蓁
장수평%송효빈%주인영%상효매%전서려%왕염%량방%리세홍%정흥영%조조하%류로%한진
孕产妇死亡率%死亡原因%孕期保健%住院分娩
孕產婦死亡率%死亡原因%孕期保健%住院分娩
잉산부사망솔%사망원인%잉기보건%주원분면
maternal mortality%cause of death%health care during pregnancy%hospital delivery
目的 探讨孕产妇死亡的变化趋势、影响因素、根本原因及其风险因素,以改善应对措施,确保母婴安全.方法 对西安市2000～2008年常住人口和流动人口中死亡的孕产妇资料,使用Excel数据库进行资料录入,利用SPSS 13.0软件包进行统计学分析.结果 西安市常住人口中孕产妇死亡率有逐年下降的趋势,平均为36.06/10万,2008年在2000年的基础上显著下降了57.28%(χ2=5.205,P=0.030<0.05);流动人口中的孕产妇死亡率平均为213.45/10万,流动人口中的孕产妇死亡率显著高于常住人口中的孕产妇死亡率(χ2=60.814,P=0.000<0.05);孕产妇死亡的前5位死因依次是产后出血、羊水栓塞、妊娠期高血压疾病、妊娠合并症、胎盘早剥;孕产妇产后出血的死亡率有逐年下降的趋势;死亡孕产妇中高危年龄占到17.24%,88.28%居住在农村地区;孕期仅有37.24%产前检查达到5次;死亡孕产妇的孕期系统保健管理率(χ2=410.648,P=0.000<0.05 )与住院分娩率(χ2=56.485,P=0.000<0.05)显著低于全市;孕产妇死亡率与孕期系统保健管理率(r =-0.719,P<0.05)、住院分娩率(r=-0.799,P<0.01)呈显著负相关;评审结果显示死亡孕产妇中有85.90%是可以避免或创造条件可以避免的死亡.结论 西安市常住人口中孕产妇死亡率已经达到<西安市妇女发展纲要(2001～2010年)>目标,但85.9%是可以避免的死亡.应不断提高孕产妇的早孕检查率、系统保健管理率、住院分娩率,加强高危孕产妇的监管,将可避免的孕产妇死亡降到最低水平.
目的 探討孕產婦死亡的變化趨勢、影響因素、根本原因及其風險因素,以改善應對措施,確保母嬰安全.方法 對西安市2000～2008年常住人口和流動人口中死亡的孕產婦資料,使用Excel數據庫進行資料錄入,利用SPSS 13.0軟件包進行統計學分析.結果 西安市常住人口中孕產婦死亡率有逐年下降的趨勢,平均為36.06/10萬,2008年在2000年的基礎上顯著下降瞭57.28%(χ2=5.205,P=0.030<0.05);流動人口中的孕產婦死亡率平均為213.45/10萬,流動人口中的孕產婦死亡率顯著高于常住人口中的孕產婦死亡率(χ2=60.814,P=0.000<0.05);孕產婦死亡的前5位死因依次是產後齣血、羊水栓塞、妊娠期高血壓疾病、妊娠閤併癥、胎盤早剝;孕產婦產後齣血的死亡率有逐年下降的趨勢;死亡孕產婦中高危年齡佔到17.24%,88.28%居住在農村地區;孕期僅有37.24%產前檢查達到5次;死亡孕產婦的孕期繫統保健管理率(χ2=410.648,P=0.000<0.05 )與住院分娩率(χ2=56.485,P=0.000<0.05)顯著低于全市;孕產婦死亡率與孕期繫統保健管理率(r =-0.719,P<0.05)、住院分娩率(r=-0.799,P<0.01)呈顯著負相關;評審結果顯示死亡孕產婦中有85.90%是可以避免或創造條件可以避免的死亡.結論 西安市常住人口中孕產婦死亡率已經達到<西安市婦女髮展綱要(2001～2010年)>目標,但85.9%是可以避免的死亡.應不斷提高孕產婦的早孕檢查率、繫統保健管理率、住院分娩率,加彊高危孕產婦的鑑管,將可避免的孕產婦死亡降到最低水平.
목적 탐토잉산부사망적변화추세、영향인소、근본원인급기풍험인소,이개선응대조시,학보모영안전.방법 대서안시2000～2008년상주인구화류동인구중사망적잉산부자료,사용Excel수거고진행자료록입,이용SPSS 13.0연건포진행통계학분석.결과 서안시상주인구중잉산부사망솔유축년하강적추세,평균위36.06/10만,2008년재2000년적기출상현저하강료57.28%(χ2=5.205,P=0.030<0.05);류동인구중적잉산부사망솔평균위213.45/10만,류동인구중적잉산부사망솔현저고우상주인구중적잉산부사망솔(χ2=60.814,P=0.000<0.05);잉산부사망적전5위사인의차시산후출혈、양수전새、임신기고혈압질병、임신합병증、태반조박;잉산부산후출혈적사망솔유축년하강적추세;사망잉산부중고위년령점도17.24%,88.28%거주재농촌지구;잉기부유37.24%산전검사체도5차;사망잉산부적잉기계통보건관리솔(χ2=410.648,P=0.000<0.05 )여주원분면솔(χ2=56.485,P=0.000<0.05)현저저우전시;잉산부사망솔여잉기계통보건관리솔(r =-0.719,P<0.05)、주원분면솔(r=-0.799,P<0.01)정현저부상관;평심결과현시사망잉산부중유85.90%시가이피면혹창조조건가이피면적사망.결론 서안시상주인구중잉산부사망솔이경체도<서안시부녀발전강요(2001～2010년)>목표,단85.9%시가이피면적사망.응불단제고잉산부적조잉검사솔、계통보건관리솔、주원분면솔,가강고위잉산부적감관,장가피면적잉산부사망강도최저수평.
Objective To investigate change trend, influcing and risk factors,cause of maternal death , so as to reduce maternal mortality rate and to ensure safety of mother and child. Methods The data of maternal mortality in Xi'an over a period from 2000 to 2008 in resident population and migrating population were included by Excel database and analyzed by SPSS 13.0 software. Results The average maternal mortality rate in Xi'an resident population was 36.06/100 000 over the period, and there was a significant descending tendency year by year. The maternal mortality rate in the year 2008 had decreased by 57.28% as compared with that in the year 2000 (χ2=5.205, P=0.03<0.05). The average of maternal mortality rate in migrating population was 213.45/100 000, which was significantly higher than that in the resident population(χ2=60.814,P=0.000<0.05). The first five causes of maternal death were postpartum hemorrhage, amniotic fluid embolism, pregnancy-induced hypertension, pregnancy complications and placental abruption in order. In maternal mortality caused by postpartum hemorrhage, there was a declining trend year by year. The mortality of women in high-risk age accounted for 17.24 % and 88.28 % of dead women formerly lived in rural areas. Only 37.24 % of them ever received up to 5 times of prenatal examination during pregnancy. The rate of systematic health care management during pregnancy (χ2 = 410.648, P = 0.000 <0.05) and hospital delivery rate ( χ2=56.485, P=0.000<0.05) in dead women were significantly lower than the averages of the city. There were negative correlations between maternal mortality rate and rate of systematic health care management(r=-0.719,P<0.05), hospital delivery rate(r =-0.799,P<0.01). Assessment results showed that 85.90% of maternal deaths can be avoided or avoidable if conditions had been created. Conclusion Although maternal mortality rate in the resident population in Xi'an has reached the target of "The Platform for Women's Development in Xi'an City (2001~2010)", 85.9 % of maternal deaths can be avoided. Continuously improving examination rate of early pregnancy, the rate of systematic health care management during pregnancy, hospital delivery rate, and strengthening supervision of high-risk pregnant women could effectively reduce the maternal mortality rate to the lowest level.
