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目的研究郑州市孕产妇死亡动态变化趋势及死亡原因,为进一步降低郑州市孕产妇死亡率制定干预措施提供科学依据。方法回顾分析郑州市2006-2015年各市(县、区)孕产妇死亡监测点的资料。结果 2006-2015年郑州市孕产妇死亡率从2006年的38.80/10万下降到2015年的15.22/10万,降幅为60.77%,年下降速率为6.08%。经线性趋势卡方检验,孕产妇死亡率呈下降趋势(χ~2=41.757,P<0.05)。死因前三位为产科出血、羊水栓塞、心脏病和肺栓塞,因产科出血死亡的比例由2006-2010年的25.20%下降到2011-2015年的15.49%,间接产科死因由2006-2010年的46.46%上升到2011-2015年的63.38%。结论 2006-2015年郑州市孕产妇死亡率呈下降趋势,为进一步降低孕产妇死亡率,要加强孕产妇系统管理和高危妊娠管理,多学科协作,及早筛查和干预妊娠合并内外科疾病,提高基层医务人员对产科危重症的早期识别及处理能力。
Objective To study the dynamic changes of maternal death and causes of death in Zhengzhou, and to provide scientific evidence for further reducing the maternal mortality in Zhengzhou. Methods The data of maternal death monitoring sites in various cities (counties and districts) in Zhengzhou from 2006 to 2015 were retrospectively analyzed. Results From 2006 to 2015, the maternal mortality rate in Zhengzhou dropped from 38.80 / 100000 in 2006 to 15.22 / 100000 in 2015, a decrease of 60.77% and a year-on-year rate of decline of 6.08%. The linear trend chi-square test, maternal mortality showed a downward trend (χ ~ 2 = 41.757, P <0.05). The top three causes of death were obstetric hemorrhage, amniotic fluid embolism, heart disease and pulmonary embolism. The proportion of deaths due to obstetric hemorrhage dropped from 25.20% in 2006-2010 to 15.49% in 2011-2015. The indirect cause of death from 2006-2010 46.46% up to 63.38% in 2011-2015. Conclusion The maternal mortality rate in Zhengzhou decreased from 2006 to 2015. In order to further reduce the maternal mortality rate, it is necessary to strengthen maternal system management and management of high-risk pregnancies, multidisciplinary collaboration, early screening and intervention of internal and external diseases in pregnancy, Primary medical staff early diagnosis and treatment of obstetric critical illness capacity.