61222名住院分娩儿出生人口素质研究

Birth population quality research of 61222 hospital delivery

目的了解云南省新生儿的出生情况和新生儿死因、出生缺陷、出生人口素质的关系。方法统一制作出生登记调查表收集各单位住院分娩新生儿的出生情况,采用Epidata软件统一录入数据,建立数据库,用SPss.15.Windows作分析,计数资料用χ2及有序资料作趋势χ2检验。结果 61222名住院分娩儿中,低出生体重(LBW)、早产、双胎发生率随孕周时间的增加而降低,巨大儿发生率随孕周时间的增加而增加。LBW和巨大儿发生率男性高于女性;LBW发生率与产妇年龄的关系呈"J"型,小于20岁组最高11.0%,随年龄的增加而降低,25～30岁组降至最低5.7%～6.5%,35岁以后随增龄而升高,40～57岁达高峰为12.5%。LBW、巨大儿、早产、双胎等发生率随孕次的增加而上升;结论 LBW和双胎仍是中国婴儿和新生儿的主要死因。加强围产保健,是降低新生儿和婴儿死亡的关键,也是提高出生人口素质,优生优育的重要措施。

Objective To understand Yunnan Province newborn birth,neonatal death,birth defects and the birth population quality.Methods Using unified birth registration questionnaire to collect each unit of newborns informations,using software Epidata to build a database,and using SPss.15 Windows to analyse data.Results LBW,preterm birth and twin incidence reduced with gestational weeks time increased,and the incidence of macrosomia increased with pregnant weeks time increased.LBW and incidence of macrosomia in males were more than that in females.The incidence of LBW and maternal age relationship presented'J' type.Conclusion LBW and twin remain the leading cause of death in infants and neonates.Therefore,to enhance perinatal health care is the key to reduce the neonatal and infant death.