深圳市罗湖区2006-2015年围生儿死亡趋势与死因分析

Analysis on trend and causes of perinatal death in Luohu District of Shenzhen city from 2006 to 2015

目的通过分析深圳市罗湖区2006-2015年围生儿死亡变化趋势及影响因素,为有效降低该地区围生儿死亡率提供参考依据。方法收集罗湖区2006-2015年围生儿死亡监测数据,采用趋势χ~2检验分析围生儿死亡变化趋势及相关影响因素。结果罗湖区2006-2015年平均围生儿死亡率为7.01‰,其中常住人口围生儿为4.80‰,流动人口为10.86‰。10年间围生儿死亡率总体呈下降趋势(χ_(趋势)~2=177.178,P=0.000),10年间围生儿首位死因为出生缺陷(2.20‰)。结论罗湖辖区10年间围生儿死亡率整体呈下降趋势。出生缺陷是围生儿死亡的首要原因。应进一步提高孕期保健及产检意识,加强流动人口的管理,提高医务人员诊断水平,有效降低围生儿死亡率。

Objective To provide reference basis for effectively reducing perinatal mortality by analyzing the change trend and influencing factors of perinatal death in Luohu District of Shenzhen city from 2006 to 2015.Methods The monitoring data of perinatal death in Luohu District of Shenzhen city from 2006 to 2015 was collected,trend χ^2test was used to analyze the change trend and influencing factors of perinatal death.Results From 2006 to 2015,the mean perinatal mortality in Luohu District was 7.01‰,and the mean perinatal mortalities among resident population and floating population were 4.80‰ and 10.86‰,respectively.The perinatal mortality showed a decreasing trend（χ_（trend）~2= 177.178,P = 0.000）,the first cause of perinatal death was birth defects（2.20‰）.Conclusion From 2006 to 2015,the perinatal mortality showed a decreasing trend in Luohu District,and birth defects ranked the first place of perinatal death.To effectively reduce perinatal mortality,antenatal care and consciousness of prenatal examination should be further improved,management of floating population should be enhanced,and the diagnostic level of medical staff should be improved.