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目的分析及研究探讨围产儿死亡原因,以提高围产保健的工作质量,降低围产儿死亡率。方法对北京市门头沟区2002-2011年围产儿死亡资料进行回顾性分析。结果 10年间围产儿死亡率7.04‰,死胎占66.26%,死产占6.75%,新生儿死亡占26.99%。导致围产儿死亡的主要并发症及死因为早产、胎儿畸形、妊娠并发症,死胎中以畸形、脐带因素为主,新生儿死亡以RDS及缺氧综合征为主。结论加强孕期监护,预防早产,防止并发症发生,是降低围产儿死亡率的主要措施。
Objective To analyze and study the causes of perinatal death to improve the quality of perinatal care and reduce the perinatal mortality rate. Methods The data of perinatal death from 2002 to 2011 in Mentougou District of Beijing were retrospectively analyzed. Results The perinatal mortality rate was 7.04 ‰ in 10 years, 66.26% of stillbirths, 6.75% of stillbirths and 26.99% of newborn deaths. The main complications leading to perinatal death and death due to premature birth, fetal malformations, pregnancy complications, fetal death in deformity, umbilical cord factors, neonatal deaths mainly RDS and hypoxia syndrome. Conclusion Strengthening pregnancy monitoring, preventing premature birth and preventing complications are the main measures to reduce perinatal mortality.