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目的通过对武鸣县新生儿死亡原因进行分析,探讨新生儿死亡的主要影响因素,以便釆取相应的干预措施降低新生儿死亡率。方法对武鸣县2010-2014年新生儿死亡情况进行回顾分析。结果 5年间,武鸣县新生儿死亡138例,死亡率平均为3.39‰,新生儿死亡率总体呈逐年下降趋势,依次为4.48‰、3.72‰、2.88‰、3.04‰和3.03‰;其中早期新生儿死亡占78.26%;前2位死亡原因为:早产儿低出生体重(占36.9%)和出生窒息(19.6%)。结论加强健康宣教,做好孕前、孕期保健,提高产科质量,预防早产、窒息和感染,加强新生儿访视及家庭护理,可有效降低新生儿死亡率。
Objective To analyze the causes of neonatal death in Wuming County and explore the main influencing factors of neonatal death in order to reduce the neonatal mortality rate by adopting corresponding intervention measures. Methods A retrospective analysis of neonatal deaths in Wuming County from 2010 to 2014 was conducted. Results During the five years, 138 newborns died in Wuming County, with an average mortality rate of 3.39 ‰. The neonatal mortality rate showed an annual downward trend, which was 4.48 ‰, 3.72 ‰, 2.88 ‰, 3.04 ‰ and 3.03 ‰, respectively. Among them, The deaths accounted for 78.26%. The first two deaths were: low birth weight (36.9%) and birth asphyxia (19.6%) in preterm infants. Conclusions Strengthening health education, doing pre-pregnancy and prenatal care, improving obstetric quality, preventing premature birth, asphyxia and infection, and strengthening neonatal visits and home care can effectively reduce the neonatal mortality rate.