CAJ | 학술논문

目的：了解1987～2011年洪江市人民医院活产新生儿出生情况变化趋势。方法采用整群抽样法选择1987、1995、2005、2011年在洪江市人民医院住院分娩的单胎活产新生儿2711例进行回顾性分析。结果该院活产新生儿出生体质量总体变化呈递增趋势；性别比在1995年以后呈上升趋势，尤以经产妇及农村地区明显；巨大儿发生率呈增加趋势，过期产儿发生率在1995年以后呈下降趋势；低出生体质量儿及早产儿发生率变化趋势不明显。结论25年来该院活产新生儿出生情况变化趋势总体良好，提示围产保健工作质量呈现提高态势。今后围产期保健工作重点是采取综合性措施有效控制出生人口性别比及巨大儿发生率的增长趋势。
목적：료해1987～2011년홍강시인민의원활산신생인출생정황변화추세。방법채용정군추양법선택1987、1995、2005、2011년재홍강시인민의원주원분면적단태활산신생인2711례진행회고성분석。결과해원활산신생인출생체질량총체변화정체증추세；성별비재1995년이후정상승추세，우이경산부급농촌지구명현；거대인발생솔정증가추세，과기산인발생솔재1995년이후정하강추세；저출생체질량인급조산인발생솔변화추세불명현。결론25년래해원활산신생인출생정황변화추세총체량호，제시위산보건공작질량정현제고태세。금후위산기보건공작중점시채취종합성조시유효공제출생인구성별비급거대인발생솔적증장추세。
Objective To learn the change trend of live newborn birth condition from 1987 to 2011 in Hongjiang people′s hospi-tal .Methods Cluster sampling was adopted and altogether 2 711 singleton live newborns in 1987 ,1995 ,2005 ,2011 year were retro-spectively analyzed .Results From 1987 to 2011 ,the birth weight changes of live newborn overall showed an increasing trend .The sex ratio of birth appeared rising after 1995 ,especially apparent in parous wowen and rural areas .Incidence of macrosomia showed an increasing trend ,the post-term infant delivery rate decreased after 1995 .Low birth weight infant and premature infant birth rate trend was not obvious .Conclusion 25 years in Hongjiang people`s hospital ,the overall trend of live newborn birth outcomes is good which prompts that the quality of perinatal care in the hospital is improved .In the future ,the perinatal health care should focuse on taking effective comprehensive measures to control the growth of the birth sex ratio and the incidence of macrosomia .