中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2015年
3期
265-268
,共4页
吴巍巍%胡连鑫%邱丽倩%邱灵%胡崇高
吳巍巍%鬍連鑫%邱麗倩%邱靈%鬍崇高
오외외%호련흠%구려천%구령%호숭고
妊娠,多胎%围产期死亡率%回顾性研究
妊娠,多胎%圍產期死亡率%迴顧性研究
임신,다태%위산기사망솔%회고성연구
Pregnancy,multiple%Perinatal mortality%Retrospective studies
目的 探讨2008-2013年浙江省多胎发生情况及其围生期结局.方法 数据来源于以医院为基础的浙江省围产儿死亡监测系统.监测网包括浙江省30个监测县(区)的所有医院.在监测医院于2008-2013年分娩的孕满28周的围产儿为研究对象,观察至产后7d.采用x2检验分析不同地区多胎发生率的差异,并采用趋势x2检验分析多胎发生率及其主要死因所致围产儿死亡率随时间的变化趋势.结果 2008-2013年,浙江省监测地区多胎发生率分别为2.32％ (5 551/239 636)、2.49％(6 053/243 452)、2.61％(6 549/250 594)、2.82％ (7 758/275 105)、2.91％(8 803/302 447)和3.06％(9 051/295 709),多胎发生率逐年增加.2008-2013年,监测地区多胎的围产儿死亡率分别为4.32％ (240/5 551)、3.45％(209/6 053)、3.76％(246/6 549)、2.86％ (222/7 758)、2.77％(244/8 803)和2.11％ (191/9 051),多胎的围产儿死亡率呈下降趋势(x2趋势=66.52,P＜0.00l);多胎围产儿死亡率3.09％(1 352/43 765)明显高于单胎的围产儿死亡率0.87％(13 640/1 563 178)(OR=3.62,95％CI:3.42 ～ 3.83).2008-2013年,监测地区多胎围产儿死亡的前三位死因为出生缺陷、早产和/或低出生体重和双胎输血综合征.结论 2008-2013年浙江省多胎妊娠发生率不断上升,其围生儿死亡率逐年下降,但同发达国家相比仍处于较高水平.
目的 探討2008-2013年浙江省多胎髮生情況及其圍生期結跼.方法 數據來源于以醫院為基礎的浙江省圍產兒死亡鑑測繫統.鑑測網包括浙江省30箇鑑測縣(區)的所有醫院.在鑑測醫院于2008-2013年分娩的孕滿28週的圍產兒為研究對象,觀察至產後7d.採用x2檢驗分析不同地區多胎髮生率的差異,併採用趨勢x2檢驗分析多胎髮生率及其主要死因所緻圍產兒死亡率隨時間的變化趨勢.結果 2008-2013年,浙江省鑑測地區多胎髮生率分彆為2.32％ (5 551/239 636)、2.49％(6 053/243 452)、2.61％(6 549/250 594)、2.82％ (7 758/275 105)、2.91％(8 803/302 447)和3.06％(9 051/295 709),多胎髮生率逐年增加.2008-2013年,鑑測地區多胎的圍產兒死亡率分彆為4.32％ (240/5 551)、3.45％(209/6 053)、3.76％(246/6 549)、2.86％ (222/7 758)、2.77％(244/8 803)和2.11％ (191/9 051),多胎的圍產兒死亡率呈下降趨勢(x2趨勢=66.52,P＜0.00l);多胎圍產兒死亡率3.09％(1 352/43 765)明顯高于單胎的圍產兒死亡率0.87％(13 640/1 563 178)(OR=3.62,95％CI:3.42 ～ 3.83).2008-2013年,鑑測地區多胎圍產兒死亡的前三位死因為齣生缺陷、早產和/或低齣生體重和雙胎輸血綜閤徵.結論 2008-2013年浙江省多胎妊娠髮生率不斷上升,其圍生兒死亡率逐年下降,但同髮達國傢相比仍處于較高水平.
목적 탐토2008-2013년절강성다태발생정황급기위생기결국.방법 수거래원우이의원위기출적절강성위산인사망감측계통.감측망포괄절강성30개감측현(구)적소유의원.재감측의원우2008-2013년분면적잉만28주적위산인위연구대상,관찰지산후7d.채용x2검험분석불동지구다태발생솔적차이,병채용추세x2검험분석다태발생솔급기주요사인소치위산인사망솔수시간적변화추세.결과 2008-2013년,절강성감측지구다태발생솔분별위2.32％ (5 551/239 636)、2.49％(6 053/243 452)、2.61％(6 549/250 594)、2.82％ (7 758/275 105)、2.91％(8 803/302 447)화3.06％(9 051/295 709),다태발생솔축년증가.2008-2013년,감측지구다태적위산인사망솔분별위4.32％ (240/5 551)、3.45％(209/6 053)、3.76％(246/6 549)、2.86％ (222/7 758)、2.77％(244/8 803)화2.11％ (191/9 051),다태적위산인사망솔정하강추세(x2추세=66.52,P＜0.00l);다태위산인사망솔3.09％(1 352/43 765)명현고우단태적위산인사망솔0.87％(13 640/1 563 178)(OR=3.62,95％CI:3.42 ～ 3.83).2008-2013년,감측지구다태위산인사망적전삼위사인위출생결함、조산화/혹저출생체중화쌍태수혈종합정.결론 2008-2013년절강성다태임신발생솔불단상승,기위생인사망솔축년하강,단동발체국가상비잉처우교고수평.
Objective To analyze the trends of multiple births rates and their perinatal outcomes in Zhejiang province from 2008 to 2013.Methods Data were obtained from hospital-based perinatal mortality surveillance system in Zhejiang,including all the hospitals in 30 monitoring counties (districts).All births (28 or more weeks of gestation) born in the monitoring hospitals were included in our study within 7 days after delivery from 2008 to 2013.Chi-square test was performed for statistical analyses for comparisons between regions.Trends in the incidence of multiple births and causes of perinatal death were analyzed using chi-square test for trend.Results From 2008 to 2013,the multiple births rate in Zhejiang province was increased and the rates were 2.32％ (5 551/239 636),2.49％ (6 053/243 452),2.61％ (6 549/ 250 594),2.82％ (7 758/275 105),2.91％ (8 803/302 447) and 3.06％ (9 051/295 709),respectively.And the perinatal mortality rates for multiple births were 4.32％ (240/5 551),3.45％ (209/ 6053),3.76％ (246/6 549),2.86％ (222/7 758),2.77％ (244/8 803) and 2.11％ (191/9051),respectively.A significant drop in the perinatal mortality rates for multiple births was observed between 2008 and 2013(x2trend =66.52,P ＜0.001).There was a significantly greater risk for perinatal death to multiple births when compared with single birth (OR =3.62,95％ CI:3.42-3.83).The three leading causes of perinatal death for multiple births were birth defect,premature and/or low birth weight,and twin-twin transfusion syndrome.Conclusion The multiple births rates in Zhejiang province showed an increasing trend.The perinatal mortality rates for multiple births were decreased annually,however,it was still higher than those in developed countries.
