2009—2014年深圳市龙岗区围产儿死亡变化趋势及影响因素分析

Perinatal mortality analysis of trend and influence factors in Longgang District of Shenzhen during 2009 to 2014

目的分析2009-2014年围产儿死亡变化趋势及影响因素,为降低围产儿死亡率提供有效的防控和干预措施。方法收集2009-2014年间由深圳市龙岗区各级医院上报的所有围产儿死亡监测报告卡,采用描述性流行病学的方法分析围产儿死亡率的变化趋势;同时采用病例对照研究的方法,使用单因素和多因素分析进一步探讨围产儿死亡的影响因素。结果 2009-2014年围产儿死亡率为5.8‰(1404例),其中常住人口总的围产儿死亡率为4.68‰,流动人口为7.51‰。多因素Logistic回归模型显示围产儿死亡与产妇年龄、孕胎数、出生体重、孕周、产检次数、合并症或并发症、分娩方式和户籍类别等有关。结论 2009-2014年围产儿死亡率呈下降趋势。为进一步降低围产儿死亡率,应加强宣传优生优育,加强对流动人群的管理,提高孕期保健及孕检、产检意识,管理高危人群,及时筛查影响围产儿死亡的危险因素。

Objective To analysis the trend and influence factors of erinatal mortality during 2009 to 2014,and in order to provide effective prevention and intervention measures for reducing the mortality of perinatal mortality. Methods All the perinatal death monitoring report cards which reported by all level hospitals in Longgang District during 2009- 2014 were collected,and descriptive epidemiology method was used to analyze the variation trend of perinatal mortality. Meantime,case-control study method was conducted to find the influence factors of perinatal mortality by single factor and multi factor analysis. Results The perinatal mortality rate during 2009 to 2014 was 5. 8‰（ 1404 cases）. And the perinatal mortality rate in resident population and floating population were 4. 68‰ and 7. 51 ‰ respectively. Multi-factor Logistic regression model showed that perinatal death was associated with maternal age,number of fetus,birth weight,gestational age,times of antenatal examination,complications,childbirth ways and type of census register. Conclusion From 2009 to 2014,the mortality of perinatal infant was decreased. In order to further reduce the perinatal mortality,we should strengthen the propaganda of eugenics and the management of the floating population. Meantime health care during pregnancy,pregnancy and prenatal management consciousness should be improved. Management of high-risk population and screening risk factors of perinatal death timely should be been further fortified.