2009-2019年绍兴市围产儿死亡监测分析

Surveillance Analysis of Perinatal mortality in Shaoxing city,from 2009 to 2019

目的监测2009-2019年期间绍兴地区的围产儿死亡情况,分析原因从而采取相应的措施,为进一步降低绍兴地区围产儿的死亡率提供依据。方法按照浙江省围产儿死亡监测方案,收集绍兴地区2009-2019年的全部围产儿死亡监测资料,比较围产儿死亡率,死胎死产死亡率和七天内新生儿死亡率,分析死亡的影响因素。结果全市监测数据表明2009-2019年平均围产儿死亡率为6.16‰,其中2019年围产儿死亡率为3.46‰,呈逐年下降趋势(χ2趋势=260.271;P<0.01);死胎死产以及7天内新生儿死亡率平均分别为4.66‰和1.45‰,且呈下降趋势(χ2趋势=161.545;χ2趋势=106.274;P<0.01);其中在2009-2019年期间死因最高的出生缺陷因素也有了显著性的下降(P<0.05)。结论绍兴地区围产儿死亡率逐年下降,需加强出生缺陷的防治工作以及孕产妇健康管理,并探索新的死亡原因,从而为降低围产儿死亡率提供更多的依据。

Objective:To monitor the mortality of perinatal infants in Shaoxing from 2009 to 2019,we analyzed the reasons and take corresponding measures to provide basis for further reducing the mortality rate of perinatal infants in Shaoxing.Methods:According to the perinatal death monitoring program of Zhejiang Province,we collected all the monitoring data of perinatal death in Shaoxing area from 2009 to 2019,and compared the perinatal death rate,stillbirth death rate and seven-day neonatal death rate,further to analyze the influencing factors of death.Results:Municipal monitoring data showed that the average of perinatal mortality rate from 2009-2019 in Shaoxing was 6.16‰,furthermore,it showed a declining trend year by year(χ2trend=260.271;P<0.01);the stillbirth mortality rate and the seven-day neonatal mortality rate,have also been decreasing year by year(χ2trend=161.545;χ2trend=106.274;P<0.01);the birth defect factor,as the leading cause of death,also showed a significant decrease during 2009-2019(P<0.05).Conclusion:The perinatal mortality rate in Shaoxing area is decreasing year by year.To further improve the perinatal mortality situation,it is necessary for us to strengthen the prevention and treatment of birth defects,maternal health management,and further explore new reasons of death to provide more better basis for decreasing perinatal mortality.