山东省2004-2005年婴儿死亡调查研究

Analysis on infant death in Shandong province,2004-2005

目的通过对婴儿死亡资料的分析,掌握山东省婴儿的死亡水平及特点,为制定妇幼保健政策提供依据。方法利用山东省第三次死因调查资料,对山东省2004-2005年婴儿死亡病例进行分析,对其死亡特点进行描述和分析。结果2004-2005年山东省婴儿死亡率为10.81‰,新生儿死亡率为7.92‰,新生儿死亡约占婴儿总死亡的73.68%。围生期疾病和先天畸形是婴儿,特别是新生儿死亡的最主要死因,占婴儿全部死亡的80.18%,而早产低体重儿、新生儿窒息则为围生期疾病的前两位死因。结论围生期疾病特别是早产低体重儿、窒息和先天畸形是导致婴儿特别是新生儿死亡的最主要原因,要以加强围产期保健和出生缺陷监测工作作为工作重点。

Objective To investigate the mortality and characteristics of infant death in Shandong Province, and to provide basis for formulating the maternal and child health care policy. Methods The data of the third Investigation of Death Cause in Shandong Province was analyzed, and the characteristics of infant death during 2004-2005 were described and analyzed. Results The infant mortality rate was 10. 81‰, and the neonatal mortality rate was 7. 92‰. The neonatal infant deaths accounted for about 73.68% of total infant deaths. Perinatal diseases and congenital malformations were the most important causes for in- fant death, especially for neonatal infant death, accounting for 80. 18% of total infant deaths. Premature and low birth weight, neonatal asphyxia were the top two death causes of perinatal diseases. Conclusion Perinatal diseases especially premature and low birth weight, neonatal asphyxia are the major causes for infant death, especially for neonatal infant death. Surveillance of birth defects and perinatal health care should be strengthened.