如皋市新生儿窒息死亡率阶段性比较分析

Comparative Analysis of Neonatal Asphyxia Mortality in Rugao

目的:评估新生儿复苏培训与复苏后救治体系防控新生儿窒息死亡率的效果。方法:对2011-2016年与1991-2010年新生儿窒息死亡资料进行回顾性分析与阶段性比较。结果:2011-2016年新生儿窒息死亡率(60.65/100 000)与1991-2010年(153.21/100 000)比较,差异有统计学意义(χ~2=36.935,P=0.000),0、1 d以上新生儿窒息死亡构成比比较差异无统计学意义(χ~2=0.336,P=0.562),不同出生地点构成比比较差异有统计学意义(χ~2=40.468,P=0.000),不同死亡地点构成比比较差异有统计学意义(χ~2=7.505,P=0.017),2001-2010年新生儿窒息平均增长量为0.07/100 000,2011-2016年为-1.64/100 000。结论:如皋市新生儿窒息死亡率有效下降,平均增长量增长的现象得到扭转,综合干预措施发挥了一定的作用,建议继续加强复苏培训与复苏后救治体系建设。

Objective:To evaluate the effect of recovery training and post-resuscitation system on the control of neonatal asphyxia mortality.Method:Retrospective analysis and phase comparison were made on the death data of asphyxia neonatorum between 2011-2016 and 1991-2010.Result:Compared the death data of asphyxia neonatorum between 2011-2016 and 1991-2010,the difference of neonatal asphyxia mortality was statistically significant(χ2=36.935,P=0.000).There was no significant difference in mortality between 0 d and 1 d of neonatal asphyxia(χ2=0.336,P=0.562).There were significant differences in the proportion of different places of birth(χ2=40.468,P=0.000).There were significant differences in the proportion of different sites of death(χ2=7.505,P=0.017).The average growth rate of neonatal asphyxia in 2001-2010 was 0.07/100 000.The average growth rate of neonatal asphyxia in 2011-2016 was-1.64/100 000.Conclusion:The mortality of neonatal asphyxia decreased effectively in Rugao.The phenomenon of average growth has been reversed.Comprehensive intervention measures play a certain role.We suggest that the recovery training and the post-resuscitation system should be further strengthened.