山东省2000-2009年婴儿主要死因变化趋势及干预措施的研究

Changing trends of main causes of infant death in Shandong province from 2000 to 2009 and the intervention

【目的】掌握山东省婴儿死亡率的动态变化趋势,分析主要死因构成及其顺位变化,探讨干预措施。【方法】采用Foxpro建立数据库,对山东省2000-2009年间婴儿死亡监测资料进行统计分析。计算全省婴儿死亡率及变化趋势,分析死因顺位。【结果】9年间,全省婴儿死亡率均呈下降趋势,2000、2009年全省婴儿死亡率分别为20.47‰、8.47‰(χ2=7.86,P<0.01);2000-2009年前两位主要死因早产和低出生体重、出生窒息死亡率均有下降趋势(P均<0.01)。【结论】加强围生期保健管理,整合临床、保健资源优势,开展孕前、孕中、孕后系统化服务模式,提高临床救治能力及妇幼保健服务能力,降低婴儿死亡率,是降低早期新生儿死亡率是降低婴儿死亡率的关键。

[Objective] To obtain changing trends of main causes of infant mortality in Shandong province,analysis the composition of leading causes of death and change of their positions,probe into the intervention measures. [Method] Based on Foxfro database, the monitoring data from 2000 to 2009 on infant death were analyzed, and the infant mortality o ver the province and the changing trends were calculated and the changing positions were analyzed. [Results] The neonatal mortality had a declining trend over the province during 9 years. The neonatal mortality of 2000 and 2009 over the province was 20.47‰ and 8.47‰ （Х^2 = 7.86, P〈0.01 ）respectively. Premature birth and low birth weight and birth asphyxia, which were the two leading causes of infant mortality, showed decreases during 2000 and 2009. [Conclusions] The neonatal mortality is on pre-position of infant death. To reduce the neonatal mortality is the key to reduce the infant mortality. A series of measures should be taken to reduce infant mortality, such as strengthening the management of perinatal care; integrating clinical and health care resources; carrying out systematic service before pregnancy, during pregnancy and after delivery; improving clinical treatment capability and capacity of maternal and child health services.