论文部分内容阅读
目的探讨影响甘肃新生儿死亡的主要危险因素,为有效开展妇幼健康教育以及有针对性地制定防治措施提供科学依据。方法以2010-2012年甘肃5岁以下儿童死亡监测数据为基础,采用统一编制的调查问卷回顾性调查新生儿出生测量指标等相关情况,应用病例对照研究方法,通过单因素和多因素logistic回归筛选主要危险因素。结果影响因素分析显示,县级以下医疗机构分娩(OR=2.746;95%CI:1.898~3.975)、5 min Apgar评分≤7(OR=8.701;95%CI:3.276~23.111)、新生儿窒息(OR=5.057;95%CI:2.210~11.568)、早产(OR=2.055;95%CI:1.049~4.024)、新生儿并发症(OR=2.323;95%CI:1.591~3.393)为甘肃新生儿死亡的危险因素。结论甘肃基层医疗机构新生儿救治水平偏低,新生儿窒息、早产、并发症为导致其死亡的主要危险因素,相应的卫生干预措施应尽早制定并实施。
Objective To explore the main risk factors affecting neonatal death in Gansu and to provide a scientific basis for the effective implementation of health education for women and children and for the targeted prevention and treatment measures. Methods Based on the data of death monitoring of children under 5 years old in Gansu from 2010 to 2012, the data of neonatal birth measurement were retrospectively surveyed by the questionnaire of unified compilation, and the case-control study method was used to screen the single factor and multivariate logistic regression The main risk factors. Results Analysis of influential factors showed that the incidence of childbirth (OR = 2.746; 95% CI: 1.898-3.975), Apgar score of ≤7 (OR = 8.701; 95% CI 3.276-23.111) OR = 5.057; 95% CI: 2.210 ~ 11.568), premature birth (OR = 2.055; 95% CI: 1.049-4.024), neonatal complications Risk factors. Conclusion The level of neonatal treatment in primary medical institutions in Gansu Province is low. Neonatal asphyxia, premature birth and complications are the major risk factors for their death. Relevant health interventions should be formulated and implemented as soon as possible.