2001～2005年广州市某区围产儿死亡回顾性分析

A Review and Analysis of Perinatal Death in a Community of Guangzhou City from 2001 to 2005

[目的]分析广州市荔湾区(原芳村区)围产儿死亡现状,探讨围产儿死亡原因,为降低围产儿死亡率,提高围产保健水平提供科学依据。[方法]以2001～2005年原芳村区3家产科医院分娩的共6091例围产儿为对象,对其中的49例死亡围产儿的情况进行分析。[结果]2001～2005年围产儿死亡49例,死亡率为8.04‰。死亡率以2004年最高(14例),2002年最低(8例),不同年份间死亡率的差异无统计学意义(P>0.01)。死亡原因前3位为先天畸形17例(36.96%);脐带因素15例(30.61%);妊娠合并感染6例(12.25%)。流动人口死亡34例(69.39%),本地人口15例(30.61%)。[结论]荔湾区围产儿死亡率较低。加强围产保健工作质量、重视流动人口孕产妇管理、28周前发现畸形、治疗妊娠合并症、做好高危妊娠监护有助于减少围产儿死亡的发生。

[Objective]To analyze the present situation of perinatal death in Liwan district of Guangzhou （the Original is Fangcun district） ,investigate the cause of perinatal death, reduce the perinatal mortality, provide scientific basis for improving health care during perinatal period. [Methods]6 091 infants born in 3 obstetrical hospitals from 2001 to 2005 in Liwan district （Original Fangcun district） were selected for investigation, the status of 49 perinatal death were analyzed. [Results]From 2001 to 2005 there were 49 cases of perinatal death, the mortality was 8.04 %0. Mortality was the highest in 2004（14） ,while it was the lowest in 2002 （8） ,There was no difference of the mortality in different year （ P 〉0.01）. The first 3 causes of death included： congenital deformities（17） accounting for 36.96 % ;umbilical factors （15） accounting for 0.61% ;pregnancy associated with infection （6） accounting for 12. 247 %. 34 died cases occurred among floating population accounting for 69.39% ;15 were from the native, accounting for 30.61%. [Conclusion]Perinatal death rate in Fangcun district was low. health care during perinatal period should be strengthened, management for pregnant women among floating population must be improved,congenital deformities should be indentified before 28 weeks;complication of pregnancy must be treated,more care for high danger pregnancy,perinatal death can be reduced.