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目的:分析仁化县育龄妇女死亡原因及相关因素,探讨降低育龄妇女死亡率的方法及科学的干预措施。方法:收集2006-2015年仁化县妇幼卫生监测报表和育龄妇女死亡登记表,到公安局、疾病预防控制中心核查死亡原因及相关数据,对其进行描述性流行病学分析。结果:2006-2015年育龄妇女共死亡204例。育龄妇女死亡的前5位死因依次为恶性肿瘤、交通意外、心脑血管疾病、其他意外伤害(自杀、溺水、中毒及其他非正常死亡)、传染病。恶性肿瘤的前3位死因是子宫颈癌、乳腺癌、肠癌。结论:降低意外伤害和恶性肿瘤的发生,是降低仁化县育龄妇女死亡的关键。在对育龄妇女的健康教育和保健指导工作中,应该加强育龄妇女交通文化和社会适应能力,提高自身防癌、主动筛查和自我保健意识,有效降低育龄妇女死亡率。
OBJECTIVE: To analyze the causes and related factors of death among women of childbearing age in Renhua County, and to explore ways to reduce the mortality rate of women of childbearing age and scientific interventions. Methods: The maternal and child health monitoring report and the death registration form of women of childbearing age were collected from 2006 to 2015 in Renhua County. The causes of death and related data were checked by the Public Security Bureau and CDC, and their descriptive epidemiological analysis was conducted. Results: A total of 204 women of childbearing age died in 2006-2015. The five leading causes of death among childbearing women were malignant tumor, traffic accident, cardiovascular and cerebrovascular diseases, other accidental injuries (suicide, drowning, poisoning and other non-normal deaths) and infectious diseases. The top three causes of cancer are cervical cancer, breast cancer, bowel cancer. Conclusion: Reducing the incidence of accidental injuries and malignant tumors is the key to reducing the death of women of childbearing age in Renhua County. In health education and health guidance for women of childbearing age, women of childbearing age should enhance their transportation culture and social adaptability, raise their awareness of prevention of cancer, active screening and self-care, and effectively reduce the mortality rate of women of childbearing age.