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目的对2011-2015年克拉玛依市产科质量相关指标进行分析,客观反映该市医疗机构产科服务水平,为提高产科服务质量提供依据。方法对2011-2015年克拉玛依市4家助产机构产科质量报表相关指标进行统计学分析。结果2011-2015年平均剖宫产率55.84%,5年间剖宫产率呈逐年下降趋势,由2011年的59.37%下降至2015年的51.14%;自然分娩率逐年上升,由2011年的40.8%上升至2015年的49.09%;平均早产率4.98%、低出生体重发生率3.06%、巨大儿发生率13.82%,5年间均呈逐年上升趋势,分别由2011年的2.35%、2.86%、12.45%上升至2015年的6.98%、3.84%、14.85%;平均死产率0.89‰、围产儿死亡率6.91‰,5年间死产及围产儿死亡率呈逐年下降趋势,分别由2011年的0.84‰和9.27‰下降至2015年0和4.66‰;产后出血是产妇分娩的主要并发症。结论克拉玛依市产科质量情况总体较好,需采取有力措施控制早产、低出生体重、巨大儿及产后出血的发生。
Objective To analyze the quality related indicators of obstetrics in Karamay from 2011 to 2015, objectively reflect the obstetric services of the medical institutions in the city and provide the basis for improving the quality of obstetrics services. Methods Statistical analysis was made on the relevant indicators of obstetrical quality reports of four midwifery institutions in Karamay during 2011-2015. Results The average rate of cesarean section in 2011-2015 was 55.84%. The rate of cesarean section decreased from 59.37% in 2011 to 51.14% in 2015. The rate of natural delivery increased year by year from 40.8% in 2011, Up to 49.09% in 2015. The average rate of premature birth was 4.98%, the rate of low birth weight was 3.06%, the incidence of macrosomia was 13.82%, showing an increasing trend in each of the five years from 2.35%, 2.86% and 12.45% Rising to 6.98%, 3.84% and 14.85% respectively in 2015; the average stillbirth rate was 0.89 per thousand and the perinatal mortality rate was 6.91 per thousand. The 5-year mortality rates of stillbirths and perinatal babies decreased year by year from 0.84 ‰ in 2011 and 9.27 ‰ dropped to 0 and 4.66 ‰ in 2015; postpartum hemorrhage was the main complication of maternal delivery. Conclusion The quality of Obstetrics in Karamay City is generally good, and effective measures should be taken to control the occurrence of preterm birth, low birth weight, huge children and postpartum hemorrhage.