摘要
目的:分析本地区新生儿死亡原因,提出预防措施,降低新生儿死亡率。方法:对市级各县区2009年4季度～2011年3季度92例死亡新生儿情况,组织产科、儿科、保健科室专家采用十二表格方法进行评审。结果:在评审的92例死亡新生儿中,男性高于女性(男70例,女22例),主要死因为出生窒息、早产儿和极低体重,新生儿肺炎,1～7天内死亡的新生儿占53.3%,未正规产检及产检情况不详的孕产妇63%,且母亲受教育程度普遍较低(初中及以下或不详85.9%)。结论:重点对低文化层次的孕妇加大孕期健康教育及围产期保健管理,加强1～7天新生儿监护,严格执行高危孕产妇分级管理制度,实行高危孕妇宫内转诊,提高基层医院儿科医生的技术水平及新生儿窒息技术,从而最大限度地降低新生儿死亡率。
Objective： To analyze this region neonatal causes of death and propose pre- ventive measures to reduce neonatal mortali- ty. Method： Municipal counties of the third quarter,fourth quarter of 2009 to 2011,92 eases of neonatal death situation , the organi- zation of obstetric, pediatric, health depart- ment experts with twelve forms for review. Result：Reviewed 92 cases of death of new- born, the higher in men than women （70 ca- ses of male and 22 females ） , mainly dead because of birth asphyxia, premature chil- dren, and very low birth weight, neonatal pneumonia, 1 - within 7 days of death of newbornaceounted for 53. 3%, not regular check - ups and available for check - preg- nant women accounted for 63%, and the motherg education is generally low（ accoun- ted for 85.9% of junior high school and be- low, or unknown ）. Conclusion： Increase health education during pregnancy and peri-natal care management focuses on the low cultural level of the pregnant women to strengthen the I -7 days of neonatal inten- sive care, and strict implementation of high -risk maternal elassificatlon management system,the imptementatlon of the intrauter- ine referral of high - risk pregnant women to improve the primary pediatric hospltalthe doctor＇s skill level and neonatal asphyxia, thus maximizing the reduction of neonatal mortality.
