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目的:掌握影响韶关市孕产妇死亡的相关因素,为制定干预措施以降低孕产妇死亡率提供依据。方法:对韶关市1999～2006年死亡的65例孕产妇死亡的评审资料进行回顾性的统计与分析。结果:孕产妇的平均死亡率为27.75/10万,死因前4位是产科出血、妊高征、羊水栓塞、妊娠合并心脏病。婚检实行自愿前后孕产妇的死亡率及直间接产科死因的构成比,在统计学上有显著性差异(P<0.05)。评审结果显示,可避免死亡及创造条件可避免死亡共占76.92%,不可避免死亡占23.08%。在影响孕产妇死亡的主要因素中,个人家庭居民团体的知识技能问题居首位(32.31%),其次为医疗保健系统的知识技能问题(27.69%)。结论:提高婚前医学检查率、产前检查率及基层产科质量,加强保健知识的宣传教育,可以有效地降低孕产妇死亡率。
Objective: To master the related factors that affect the maternal mortality in Shaoguan City and provide evidence for making interventions to reduce the maternal mortality rate. Methods: 65 cases of maternal deaths from 1999 to 2006 in Shaoguan City were retrospectively analyzed. Results: The average maternal mortality rate was 27.75 / 100 000. The first four causes of death were obstetric hemorrhage, PIH, amniotic fluid embolism, and pregnancy complicated with heart disease. Before and after the implementation of premarital matrimonial premarital maternal mortality and direct indirect obstetric death of the constituent ratio, statistically significant difference (P <0.05). Results of the review showed that avoidable deaths and avoidance of deaths accounted for 76.92% and inevitable deaths were 23.08%. Among the main factors affecting maternal mortality, the knowledge and skills of individual family groups topped the list (32.31%), followed by the knowledge and skills of the healthcare system (27.69%). Conclusion: To improve premarital medical examination rate, prenatal examination rate and obstetrics quality, strengthen publicity and education of health knowledge can effectively reduce the maternal mortality rate.