论文部分内容阅读
目的 了解双胎围生儿患病、死亡的流行趋势及相关原因,探讨降低双胎围生儿死亡率的途径。 方法 从中国妇婴保健中心1993-2000年对浙江、江苏、河北3省27个市(县)的围生保健监测数据中提取7 120例双胎妊娠的资料,进行描述性分析。 结果 双胎围生儿死亡率从1993年103.0‰降至2000年54.8‰,死胎死产率变化不明显,早期新生儿死亡率从1993年42.8‰降至2000年19.6‰;剖宫产率从1993年26.5%上升至2000年66.6%;妊娠合并症中重度妊高征、中重度贫血及胎儿窘迫的患病率略有波动;新生儿肺炎患病率有上升趋势,病理性黄疸、呼吸窘迫综合征和硬肿症的患病率有下降趋势。结论 1993-2000年本监测县市双胎围生儿死亡率逐年下降,早期新生儿患病率和死亡率的降低是死亡率下降的主要原因。
Objective To understand the prevalence and related causes of morbidity and mortality in twins and explore the ways to reduce the mortality of twins. Methods A total of 7 120 cases of twin pregnancy were extracted from the perinatal health monitoring data of 27 cities (counties) in Zhejiang, Jiangsu and Hebei provinces from 1993 to 2000 by Chinese Maternal and Child Health Care Center. Descriptive analysis was made. Results The death rate of twins was reduced from 103.0 ‰ in 1993 to 54.8 ‰ in 2000. The death rate of stillbirths did not change obviously. The mortality of early neonates dropped from 42.8 ‰ in 1993 to 19.6 ‰ in 2000. The cesarean section rate decreased from The prevalence of severe pregnancy-induced hypertension, moderate to severe anemia and fetal distress in pregnancy complications fluctuated slightly from 26.5% in 1993 to 66.6% in 2000. The prevalence of pneumonia in neonates showed an upward trend, with pathological jaundice and respiratory distress The prevalence of syndromes and sclerema has a declining trend. Conclusion The death rate of twins in the counties and counties in 1993-2000 decreased year by year. The decrease of morbidity and mortality in early neonates was the main reason for the decrease of death rate.