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目的分析孝感市2007—2011年新生儿死亡情况,提出预防和救治措施,以降低新生儿死亡率。方法对2007—2011年孝感市下辖七个县市区发生的新生儿死亡情况进行统计分析。结果 2007—2011年共分娩活产新生儿214857名,死亡800例,死亡率3.72‰,各年度新生儿死亡率呈下降趋势,2011年较2007年明显下降(2.77‰比4.88‰,χ2=268.70,P<0.01)。各年度早期新生儿(出生≤7天)死亡所占比例均明显高于晚期新生儿(出生8～28天),医院内死亡所占比例高于其他地点死亡,死亡前治疗的比例高于未治疗的比例,且治疗的比例呈上升趋势(P均<0.05)。新生儿窒息(28.13%)、早产和低出生体重(23.87%)、出生缺陷(16.50%)是本地区新生儿死亡的主要原因。结论建立三级妇幼保健网和重症监护网络,加强产儿科合作,加强医务人员急重症抢救技术的学习以及产前筛查工作,预防早产儿、新生儿窒息、出生缺陷等高危疾病的发生,可以降低新生儿死亡率。
Objective To analyze the neonatal deaths in Xiaogan from 2007 to 2011, and put forward prevention and treatment measures to reduce the neonatal mortality rate. Methods A statistical analysis was conducted on the neonatal deaths in seven counties under Xiajiazhuang from 2007 to 2011. Results A total of 214,857 live births were delivered during 2007-2011, with 800 deaths and a mortality rate of 3.72 ‰. The neonatal mortality rate showed a decreasing trend in each year, which was significantly lower than that in 2007 (2.77 ‰ vs 4.88 ‰, χ2 = 268.70 , P <0.01). The proportion of early neonatal deaths (≤7 days of birth) in each year was significantly higher than that of the late neonates (eight to 28 days of birth). The proportion of deaths in hospitals was higher than that of other sites, and the proportion of pre-death treatment was higher than that Treatment ratio, and the proportion of treatment was on the rise (P all <0.05). Neonatal asphyxia (28.13%), premature birth and low birth weight (23.87%), and birth defects (16.50%) are the major causes of neonatal death in the region. Conclusion The establishment of a three-level maternal and child health care network and intensive care network to strengthen cooperation in pediatric obstetrics and to strengthen the study of emergency medical technology and prenatal screening work to prevent the occurrence of high-risk diseases such as premature children, neonatal asphyxia and birth defects, Reduce neonatal mortality.