深圳市沙井街道412例围产儿死亡情况分析

Analysis of 412 Perinatal Death Cases in Shajing Subdistrict Street of Shenzhen City

目的探讨围产儿死亡情况,为制定干预措施提供依据。方法对深圳市沙井街道2005年10月～2011年9月期间的412例围产儿死亡情况进行回顾性分析。结果 2006～2011年深圳市沙井街道流动人口6年平均围产儿死亡率为8.39‰,其中户籍人口围产儿死亡率3.92‰,流动人口死亡率明显高于户籍人口(P<0.01);流动人口围产儿死亡率总体上呈较大幅度下降,尤其是2008～2009年下降幅度最大;户籍人口围产儿死亡率呈低水平波动;围产儿死因顺位前6位依次为:原因不明、先天异常、早产低体质量、出生窒息、脐带因素和胎盘早剥;流动人口产检率明显低于户籍人口(P<0.01)。结论控制流动人口围产儿死亡是进一步降低全街道围产儿死亡率的关键,而加大孕产期健康教育力度和提高围产期保健质量是降低流动人口围产儿死亡率最有效的方法。

Objectives To investigate the perinatal death cases, and to provide evidence for intervention program. Methods A total of 412 perinatal death cases in manhole street, Shenzhen City from October 2005 -to September 2011were retrospectively analyzed. Results The perinatal mortality rate of floating population （8.39‰） was signifi- cant higher than residents （3.92‰） from 2006 to 2011 in Shenzhen City manhole Street （P〈0. 01）. The decline trend in perinatal mortality was observed over years among floating population, with a remarkable drop in 2008 to 2009. Whereas that of residents remained lower level with minor fluctuation. The first six sequence of death causes were as follow： unknown reasons, congenital anomalies, low birth weight, birth asphyxia, umbilical cord factors and placental abruption. Production inspection rate of floating population was lower than household registration pop- ulation （P〈0.01）. Conclusions Controlling the perinatal mortality of floating population is the key to further re- duce the perinatal death rate of the whole street, and increasing the intensity of maternal health education and im- proving the quality of perinatal health care is a most effective method of reducing perinatal mortality.