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目的分析广东新会地区2003—2012年新生儿死亡率变化及死因构成。方法对广东新会地区2003—2012年辖区出生的所有活产新生儿死亡率及死亡原因进行回顾性调查分析。结果 2003—2012年本地区活产新生儿64309名,死亡337例,死亡率5.24‰,每年死亡率呈逐年下降趋势。其中2007年新生儿死亡率最高(7.82‰),2011年死亡率最低(2.24‰)。本地区10年间新生儿主要死因前五位分别为:早产儿/极低出生体重儿(构成比31.2%),先天畸形(23.7%),新生儿窒息(21.7%),肺炎(5.9%),败血症(4.7%)。结论应加强本地区对早产/极低出生体重儿、新生儿窒息、出生缺陷等疾病的防治,从而降低新生儿死亡率。
Objective To analyze the change of neonatal mortality rate and cause of death from 2003 to 2012 in Xinhui, Guangdong Province. Methods Retrospective analysis was conducted on the mortality rate and cause of death of all live births born in the area of Xinhui from 2003 to 2012 in Guangdong Province. Results From 2003 to 2012, 64,309 newborn babies were born and 337 died in the area, with a mortality rate of 5.24 ‰. The annual mortality rate showed a declining trend year by year. Among them, the neonatal mortality rate in 2007 was the highest (7.82%), the lowest in 2011 (2.24%). The top five causes of neonatal death in 10 years in this region were preterm children with very low birth weight (31.2%), congenital malformations (23.7%), neonatal asphyxia (21.7%), pneumonia (5.9%), Sepsis (4.7%). Conclusion The prevention and treatment of diseases such as preterm birth, very low birth weight children, neonatal asphyxia and birth defects should be strengthened so as to reduce the neonatal mortality rate.