论文部分内容阅读
目的分析三年围产儿死亡情况,探讨影响密云县围产儿死亡的主要原因,为干预措施的提出提供依据。方法采用回顾性调查的方法,对2005-2007年所有围产儿病例进行调查分析。结果三年来围产儿死亡率,死胎占第一位,早期新生儿死亡占第二位,死产占第三位。导致围产儿死亡的主要原因为畸形、早产。结论降低围产儿死亡率必须采取综合干预措施,加强孕期保健知识宣传,提高人群的健康意识;加强和完善社会医疗保障体系,提高围产期保健质量;提高产前筛查和产前诊断水平,杜绝严重缺陷儿出生;此外,定期产检,高危妊娠监测,预防早产,产、儿科配合,提高窒息复苏成功率也是降低围产儿死亡的有效措施。
Objective To analyze the three-year perinatal deaths, discuss the main causes of perinatal death in Miyun County, and provide the basis for the intervention. Methods A retrospective survey was conducted to investigate and analyze all perinatal cases from 2005 to 2007. Results In the past three years, perinatal mortality rate, stillbirth accounted for the first place, early neonatal deaths accounted for second place, stillbirth accounted for third place. The main cause of perinatal death is deformity and premature birth. Conclusions To reduce the mortality rate of perinatal children, comprehensive intervention measures must be taken to strengthen the publicity of health knowledge during pregnancy so as to enhance the health awareness of the population; to strengthen and perfect the social medical security system to improve the perinatal health care quality; to improve the prenatal screening and prenatal diagnosis, In addition, regular childbirth, high-risk pregnancy monitoring, prevention of premature birth, obstetrics and gynecology, and improve the success rate of asphyxia recovery is also an effective measure to reduce perinatal death.