CAJ | 학술논문

目的研究围产儿死亡相关原因，推出相应干预对策，提高围产保健工作，降低围产儿死亡率。方法对宜兴市2007～2012年310例围产儿死亡病例资料进行回顾性分析。结果6年内围产儿平均死亡率5.165‰，其中满28周死胎有196例，占63.33%，其次是新生儿死亡有93例，占30%，死产21例，占6.77%，导致围产儿死亡的主要原因依次为出生缺陷、脐带因素及早产低出生体重。结论加强孕期保健，做好高危孕产妇管理，采取干预措施，做好产前筛查，避免早产，防止妊娠并发症和合并症的发生，降低围产儿死亡率。
목적연구위산인사망상관원인，추출상응간예대책，제고위산보건공작，강저위산인사망솔。방법대의흥시2007～2012년310례위산인사망병례자료진행회고성분석。결과6년내위산인평균사망솔5.165‰，기중만28주사태유196례，점63.33%，기차시신생인사망유93례，점30%，사산21례，점6.77%，도치위산인사망적주요원인의차위출생결함、제대인소급조산저출생체중。결론가강잉기보건，주호고위잉산부관리，채취간예조시，주호산전사사，피면조산，방지임신병발증화합병증적발생，강저위산인사망솔。
Objective: To research the related causes of perinatal death , put forward intervention measures , improve the quality of perinatal health care and reduce perinatal mortality. Methods : 310 perinatal deaths in Yixing city from 2007 to 2012 were analyzed retrospectively . Results : The average perinatal mortality was 5.165‰ during the 6 years . Among them ,there were 196 cases of at least 28 weeks stil birth , the proportion of it was 63.33% . Next there were 93 cases of neonatal deaths and 21 cases of stil birth , the proportion of them were 30% and 6.77% . In order of priority, the main reasons of perinatal death are birth defects , umbilical factors and preterm low birth weight. Conclusion: The measures to decrease perinatal mortality include strengthening caring during pregnancy , managing high-risk puerpera wel , taking interventional measures , making the best of pregestational check-up , obviating premature delivery , preventing pregnant complications and combinations .