2004年-2015年349例新生儿死亡情况分析

Analysis on the Death Causes of 349 Neonates in a Hospital from 2004 to 2015

目的了解某院住院新生儿死亡率和死亡原因构成,为相关部门制定科学有效的防控措施提供参考资料。方法回顾性分析某院2004年-2015年期间住院死亡新生儿资料。结果 2004年-2015年某院共收治新生儿37 811例,其中死亡349例,平均年死亡率9.2‰,新生儿年死亡率呈下降趋势(trend-X^2=26.614,P<0.001)。新生儿的主要死亡原因是新生儿呼吸窘迫综合征、极低体重儿、新生儿窒息、新生儿败血症、先天性心脏病、新生儿肺炎、新生儿休克、新生儿坏死性小肠结肠炎、新生儿肺出血、消化道穿孔,累计占死亡原因的70.2%。以早期新生儿构成比最高,占死亡构成的88.5%。结论加强围产期保健,提高抢救成功率,切实有效做好早期新生儿的重点疾病的防治,进一步降低新生儿死亡率。

Objectives To understand the mortality and the constitution of death causes of hospitalized neonates, thus to providereference materials for the formulation of scientific prevention measures. Methods To retrospectively analyze the death materials of neonates in a hospital from 2004 to 2015. Results From 2004 to 2015, there were 37811 cases of neonates admitted to our hospital, in which 349 death cases. The average annual in-hospital mortality of 9.2 %v and the mortality rate showed a declining trend （trend-X^2=26. 614, P〈0. 001）. The main causes of death among 349 neonate were neonatal respiratory distress syndrome, very Low birth weight infant, neonatal asphyxia, neonatal septicemia, congenital heart disease, neonatal pneumonia, neonatal shock, neonatal necrotizing enterocolitis, neonatal pulmonary hemorrhage, digestive tract perforation, accounted for cumulatively 70.2% of all death causes. Among 349 cases of death, early nonatal was the maximum of death age class, constituting 88.5% of constitution of death causes. Conclusions We should strengthen obstetric work and perinatal prevention and controlof key diseases of early neonatal, so as