西宁地区534例围生儿死亡原因探讨

Mortality in 534 Perinatals in Xining Area

目的:分析及探讨西宁地区围生儿死亡的原因,以期提高产科的医疗质量及围产保健工作质量,降低围生儿死亡率。方法:按照WHO规定,出生时体重≥1 000g或孕满28周至产后7天为围生期标准,对我院产科16年间死亡围产儿534例进行统计分析。结果:西宁地区围生儿死亡比(534/23 372)22.85‰,死胎305例,占57.12%,死产49例,占9.18%,新生儿死亡180例,占33.71%。导致围生儿死亡的主要并发症及死因为脐带因素,其次为胎儿畸形、妊娠并发症、胎膜早破、早产,死胎中以畸形、脐带因素为主,新生儿死亡以早产、产伤及缺氧为主。结论:加强孕期的保健、预防早产及防止畸形儿的出生,是降低围生儿死亡的主要措施。

Objective： To explore the reasons of death in perinatal in Xining to decreasing the death rate. Methods： 534 perinatals hospitalized in our hospital during 16 years were reviewed for the reasons of death. Resuits： The death ratio （534/23372） of natal in 16 years was 22.85%. The dead fetus and dead birth was 305 （57.12%） and 49 （9.18%） respectively. The reasons of death included umbilical factors firstly, secondly as fetus malformation, complication of pregnancy, premature rupture of fetal membrane, early birth. Conclusions： The main preventive measure for perinatal death is prevention of early birth and fetal malformation first.