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目的:对舟山市死亡围产儿分布特征及其发展趋势分析研究,为降低围产儿死亡提供参考依据。方法:采集2006-2014年舟山市417例死亡围产儿的死亡个案表和病史资料,利用卡方检验和趋势卡方检验分析死亡特征分布一致性和死亡率变化趋势。结果:2006-2014年舟山市围产儿死亡率为6.53‰,非本市户籍围产儿死亡率超出本市户籍者4.71个千分点(χ2=4.36,P=0.04);近9年全市合计、本市户籍和非本市户籍围产儿死亡率均有不同程度的下降趋势(χ2趋势=11.59,P=0.001;χ2趋势=5.72,P=0.017;χ2趋势=15.49,P=0.000)。本市户籍围产儿死亡的死因以出生缺陷(76例,50.68%)为主,非本市户籍围产儿死亡死因则以母亲疾病(42例,占28.00%)为主;本市户籍和非本市户籍死亡围产儿在死亡胎龄、性别、死亡地点等三个方面的构成分布基本一致(χ2=1.14,P=0.566;χ2=3.38,P=0.184;χ2=5.64,P=0.059),但两者生产方式和建册情况方面的构成分布不一致(χ2=7.99,P=0.046;χ2=237.62,P=0.000),非本地户籍死亡围产儿中孕期未建册的比例高达48.67%,而本地户籍者仅0.07%。结论:近年来舟山市围产儿死亡率呈现下降趋势,非本市户籍孕妇建册服务管理需进一步加强。
Objective: To analyze the distribution characteristics and development trend of perinatal deaths in Zhoushan City, and provide reference for reducing perinatal deaths. Methods: The death cases and history data of 417 deaths perinatal children in Zhoushan from 2006 to 2014 were collected. The consistency of the distribution of death features and the trend of mortality were analyzed by chi-square test and trend chi-square test. Results: The perinatal mortality rate was 6.53 ‰ in Zhoushan City from 2006 to 2014, while the perinatal mortality rate in non-city residents surpassed 4.71 points (χ2 = 4.36, P = 0.04). In the past 9 years, The perinatal mortality rates of registered and non-local registered permanent residents in this municipality both decreased to some extent (χ2 trend = 11.59, P = 0.001; trend of χ2 = 5.72, P = 0.017; trend of χ2 = 15.49, P = 0.000). The death of perinatal children in this Municipality is dominated by birth defects (76 cases, 50.68%), and the death causes of perinatal deaths in non-municipalities are mothers (42 cases, 28.00%). The city’s household registration and non- The distribution of the perinatal deaths in the cities with respect to the three aspects of gestational age, sex and place of death was basically the same (χ2 = 1.14, P = 0.566; χ2 = 3.38, P = 0.184; χ2 = 5.64, P = 0.059) The proportions of the mode of production and establishment of the two groups were not consistent (χ2 = 7.99, P = 0.046; χ2 = 237.62, P = 0.000). The proportion of non-local domiciled perinatal babies not yet registered during pregnancy was as high as 48.67% Households only 0.07%. Conclusion: The death rate of perinatal children in Zhoushan City has shown a downward trend in recent years. The service management of non-city registered pregnant women needs to be further strengthened.