山西省2000～2002年围生儿死亡情况分析

Trends of perinatal mortality in Shanxi provice,in 2000-2002

目的 了解山西省围生儿死亡的动态变化 ,主要原因及其相关因素。 方法 对山西省 2 0 0 0～ 2 0 0 2年的围生儿死亡监测资料进行回顾性分析。 结果 山西省围生儿死亡率 ,2 0 0 0年为2 2 .7‰ (5 98/ 2 6 387) ,2 0 0 2年为 15 .1‰ (4 17/ 2 770 7) ,呈下降趋势 ;死胎是围生儿死亡的主要构成 ,畸形是第 1位死因 ,占 30 .9% (4 6 4 / 15 0 1) ;早产是第 2位死因 ,占 17.5 % (2 6 2 / 15 0 1) ;围生儿死亡病例中大部分为不可避免死亡 ,占围生儿死亡的 6 1.4 % (92 1/ 15 0 1) ;多数可避免的死亡与知识技能有关 ,尤其是与个人家庭居民团体的知识技能缺乏有关。 结论 加强健康教育 ,切实作好孕产妇尤其是高危孕产妇的系统管理 ,提高产科儿科质量 。

Objective To describe the trends of perinatal mortality and the causes of death in Shanxi province. Methods Three years of perinatal mortality data were reviewed. Results Perinatal mortality was declining steadily.Intrauterine death was the major form of perinatal mortality.Major causes of death were birth defects(30.9 %) and prematurity(17.5).There were 61.5 % unavoided deaths and the majority avoided deaths were related to the knowledge of individual,family and community. Conclusion More efforts should be made on reproductive health education,and pregnancy and maternity system-management.