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目的探讨本地区的围生儿死亡情况,确定保健工作重点,制定合理的保健措施。方法回顾性分析2006～2010年本地区75例围生儿死亡情况,结合“围生儿死亡报告卡”分析死亡原因。结果 8632例围生儿5年死亡75例,5年死亡率为8.7‰。2006～2010年各年死亡率依次为13.6‰、9.2‰、8.3‰、6.4‰、5.7‰。孕周≤37周、37～42周和>42周的围生儿死亡分别为50例(66.7)、18例(24.0)和7例(9.3)。死胎46例(61.3)、死产7例(9.3)、新生儿死亡22例(29.4)。死亡原因以出生缺陷为主(57.3),其次是胎盘因素(18.7)和脐带因素(12.0)。结论应加强孕妇围生期管理,做好优生优育宣传工作,宣传孕期定期体检的重要性,增强孕妇的自我保健意识,提高产科诊断技术和保健水平,切实降低本地区围生儿死亡率。
Objective To explore perinatal deaths in the region, determine the focus of health care, and formulate reasonable health care measures. Methods Retrospective analysis of 75 cases of perinatal deaths in the region from 2006 to 2010, combined with “perinatal death report card ” analysis of the cause of death. Results 8632 cases of perinatal 5-year death in 75 cases, 5-year mortality was 8.7 ‰. The mortality rates in each year from 2006 to 2010 were 13.6 ‰, 9.2 ‰, 8.3 ‰, 6.4 ‰ and 5.7 ‰, respectively. Perinatal deaths were ≤50 weeks (66.7%), 18 cases (24.0%) and 7 cases (9.3%) for gestational weeks ≤37 weeks, 37 ~ 42 weeks and> 42 weeks. 46 stillbirths (61.3), 7 stillbirths (9.3), and 22 neonatal deaths (29.4). The main cause of death was birth defects (57.3), followed by placental factors (18.7) and umbilical cord factors (12.0). Conclusion The management of perinatal pregnancy should be strengthened, the work of prenatal and postnatal care promotion should be done, the importance of regular physical examination during pregnancy should be promoted, the self-care awareness of pregnant women should be enhanced, the obstetric diagnosis techniques and health care should be improved, and the perinatal mortality rate should be reduced effectively.