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【目的】掌握山东省婴儿死亡率的动态变化趋势,分析主要死因构成及其顺位变化,探讨干预措施。【方法】采用Foxpro建立数据库,对山东省2000-2009年间婴儿死亡监测资料进行统计分析。计算全省婴儿死亡率及变化趋势,分析死因顺位。【结果】9年间,全省婴儿死亡率均呈下降趋势,2000、2009年全省婴儿死亡率分别为20.47‰、8.47‰(χ2=7.86,P<0.01);2000-2009年前两位主要死因早产和低出生体重、出生窒息死亡率均有下降趋势(P均<0.01)。【结论】加强围生期保健管理,整合临床、保健资源优势,开展孕前、孕中、孕后系统化服务模式,提高临床救治能力及妇幼保健服务能力,降低婴儿死亡率,是降低早期新生儿死亡率是降低婴儿死亡率的关键。
【Objective】 To master the dynamic trend of infant mortality in Shandong Province, analyze the composition of major causes of death and the changes of its sequence, and explore the intervention measures. 【Method】 Foxpro was used to establish a database for statistical analysis of infant mortality monitoring data from 2000 to 2009 in Shandong Province. Calculate the province’s infant mortality rate and trends, analyze the cause of death rankings. 【Results】 The infant mortality rate in the province showed a downward trend over the past 9 years. The infant mortality rates in the province in 2000 and 2009 were respectively 20.47 ‰ and 8.47 ‰ (χ2 = 7.86, P <0.01). In 2000-2009, the two major Mortality due to preterm birth and low birth weight, birth asphyxia have a downward trend (P all <0.01). 【Conclusion】 To strengthen the perinatal care management, integrate the advantages of clinical and health care resources, carry out the systematic service mode before pregnancy, during pregnancy and after pregnancy, improve the ability of clinical treatment and maternal and child health care services, and reduce the infant mortality rate, so as to reduce the incidence of early neonates Mortality is the key to reducing infant mortality.