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目的分析2009-2014年围产儿死亡变化趋势及影响因素,为降低围产儿死亡率提供有效的防控和干预措施。方法收集2009-2014年间由深圳市龙岗区各级医院上报的所有围产儿死亡监测报告卡,采用描述性流行病学的方法分析围产儿死亡率的变化趋势;同时采用病例对照研究的方法,使用单因素和多因素分析进一步探讨围产儿死亡的影响因素。结果 2009-2014年围产儿死亡率为5.8‰(1404例),其中常住人口总的围产儿死亡率为4.68‰,流动人口为7.51‰。多因素Logistic回归模型显示围产儿死亡与产妇年龄、孕胎数、出生体重、孕周、产检次数、合并症或并发症、分娩方式和户籍类别等有关。结论 2009-2014年围产儿死亡率呈下降趋势。为进一步降低围产儿死亡率,应加强宣传优生优育,加强对流动人群的管理,提高孕期保健及孕检、产检意识,管理高危人群,及时筛查影响围产儿死亡的危险因素。
Objective To analyze the trends and influencing factors of perinatal mortality from 2009 to 2014 and to provide effective prevention and control measures to reduce perinatal mortality. Methods All perinatal death monitoring report cards collected by hospitals at all levels in Longgang District from 2009 to 2014 were collected. The descriptive epidemiological method was used to analyze the trend of perinatal mortality. At the same time, a case-control study was used Univariate and multivariate analyzes further explored the influencing factors of perinatal death. Results The perinatal mortality rate in 2009-2014 was 5.8 ‰ (1404 cases), of which the total perinatal mortality rate was 4.68 ‰ and the floating population was 7.51 ‰. Multivariate logistic regression model showed that perinatal mortality was related to maternal age, number of gestationals, birth weight, gestational age, number of births, complications or complications, modes of delivery and type of household registration. Conclusion The perinatal mortality rate shows a decreasing trend from 2009 to 2014. In order to further reduce the perinatal mortality rate, we should step up the promotion of prenatal and postnatal care, strengthen the management of floating population, raise awareness of pregnancy and pregnancy tests and birth control during pregnancy, manage high-risk groups and timely screen the risk factors of perinatal death.