本研究采用分层等比例随机抽样法,对湖北省麻城县45个乡镇1986年内死亡的143例围产儿(不包括双胎死亡)进行了1∶1配对回顾性调查。运用单因,逐步回归和条件Logistic回归方法,从生物,心理及社会渚方面综合地分析了围产儿死亡的可能危险因素。结果表明,出生窒息、出生体重、分娩方式、母亲孕期营养是影响围产儿死亡的主要因素;胎龄、父亲近亲婚配等直接或间接地与围产儿死亡有关。 In this study, stratified proportional sampling method was used to conduct a 1: 1 matching retrospective survey on 143 perinatal deaths (excluding twin deaths) in 45 townships of Macheng County, Hubei Province in 1986. Using single factor, stepwise regression and conditional Logistic regression, the possible risk factors of perinatal death were comprehensively analyzed from the aspects of biology, psychology and social standards. The results showed that birth asphyxia, birth weight, mode of delivery and maternal nutrition during pregnancy were the main factors affecting perinatal mortality. Gestational age, father’s relatives’ marriage and so on were directly or indirectly related to perinatal death.