新生儿2694例出生情况分析

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【目的】了解本院目前新生儿出生状况及与全国新生儿出生情况的差别。【方法】统计2010年5月1日0时-2011年4月30日24时山东大学齐鲁医院产科出生的所有新生儿,采用中国新生儿协作网对其出生情况进行回顾性分析。【结果】1)齐鲁医院早产儿的发生率为13.96%,死亡率为47.87‰,均高于国家水平,死亡新生儿均为早产儿;2)对早产的高危因素进行分析,前三位为妊高症、双胎/多胎、胎膜早破;3)新生儿出生性别比为110;4)占住院新生儿前三位为早产(36.13%)、高胆红素血症(25.21%)、肺炎(10.92%);5)本院分娩剖宫产率为56.20%,其中选择性剖宫产占79.60%;6)新生儿窒息发生率为4.38%。【结论】应加强孕前教育及产前保健检查,严格掌握剖宫产指征,提高其成活率及生存质量。 【Objective】 To understand the current status of newborns in our hospital and the differences with the birth of newborns nationwide. 【Methods】 All newborns born in obstetrics department of Qilu Hospital of Shandong University at 0:00 on May 1, 2010 - at 24:00 on April 30, 2011 were retrospectively analyzed on the basis of China Neonatal Collaboration. 【Results】 1) The incidence of premature infants in Qilu Hospital was 13.96% with a mortality rate of 47.87 ‰, both of which were higher than the national level. Neonatal deaths were all premature infants.2) The risk factors for preterm birth were analyzed. The top three were 3) the sex ratio of newborns at birth was 110; 4) the first three newborns were premature infants (36.13%), hyperbilirubinemia (25.21%), premature rupture of membranes , Pneumonia (10.92%); 5) Cesarean delivery rate in our hospital was 56.20%, of which selective cesarean section accounted for 79.60%; 6) The incidence of neonatal asphyxia was 4.38%. 【Conclusion】 Prenuptial education and prenatal health checkup should be strengthened, indications of cesarean section should be strictly controlled, and the survival rate and quality of life should be improved.
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