CAJ | 학술논문

目的：分析民众镇2006至2012年围产儿死亡相关资料，探讨围产儿死亡的相关因素，以采取相应的预防措施，降低围产儿的死亡率。方法对中山市民众镇2006至2012年的49例围产儿死亡进行回顾性分析。结果围产儿死亡率2006年为13．80‰、2012年为5．36‰，2006至2012年围产儿死亡率呈逐年下降趋势（χ2＝6．625，P＝0．357）；围产儿死亡因素主要为胎儿畸形（占44．90％）、新生儿因素（占20．41％）、胎盘和脐带因素（占12．24％）。结论降低围产儿死亡率的关键在于采取三级干预措施，加强产前诊断，做好孕前优生和孕期免费出生缺陷工程的筛查，控制胎儿畸形的发生，降低围产儿的死亡率。同时，提高助产技术和产科质量、提高围产期保健质量是降低围产儿死亡的有力措施。
목적：분석민음진2006지2012년위산인사망상관자료，탐토위산인사망적상관인소，이채취상응적예방조시，강저위산인적사망솔。방법대중산시민음진2006지2012년적49례위산인사망진행회고성분석。결과위산인사망솔2006년위13．80‰、2012년위5．36‰，2006지2012년위산인사망솔정축년하강추세（χ2＝6．625，P＝0．357）；위산인사망인소주요위태인기형（점44．90％）、신생인인소（점20．41％）、태반화제대인소（점12．24％）。결론강저위산인사망솔적관건재우채취삼급간예조시，가강산전진단，주호잉전우생화잉기면비출생결함공정적사사，공제태인기형적발생，강저위산인적사망솔。동시，제고조산기술화산과질량、제고위산기보건질량시강저위산인사망적유력조시。
Objective To analyze the relative data of perinatal death in Minzhong Town from 2006 to 2012 and explore the related factors , so as to take appropriate preventive measures to reduce perinatal mortality .Methods A retrospective analysis was conducted on the data of 49 cases of perinatal death during the period of 2006 to 2012 in Minzhong Town of Zhongshan City .Results The perinatal mortality rate in 2006 was 13.80‰, and it was 5.36‰ in 2012.Perinatal mortality rate declined year by year from 2006 to 2012 (χ2 =6.625, P =0.357).The major perinatal death causes included fetal malformations (44.90%), neonatal factors (20.41%), and placenta and umbilical cord factor (12.24%).Conclusion The key to reduce perinatal mortality rate is to take three interventive measures .Prenatal diagnosis should be strengthened , eugenic pre-pregnancy and pregnancy engineering free for birth defects screening should be done .Control the incidence of fetal abnormalities so as to reduce perinatal mortality .In addition, improving the quality of midwifery and obstetric techniques to improve the quality of perinatal care is the powerful measures to reduce perinatal mortality .