摘要
目的 探讨北京市围产儿死亡变化规律及干预措施成效。 方法 采用流行病学前瞻性研究方法，对１９８８ 至１９９７ 年围产儿死亡情况连续监测，进行动态数列分析。 结果 １９８８ 年围产儿死亡率１５ ．７３ ‰，１９９７ 年１０ ．９３ ‰，下降显著。下降速度大约每隔３ 年下降１０％ 。围产儿死亡原因主要是畸形、新生儿疾病、胎儿因素、脐带因素等。死胎死产主要死因为脐带缠绕、胎儿窘迫、胎盘早剥等，早期新生儿主要死因为早产、窒息、吸入性肺炎等。前后五年主要死因死亡专率有明显下降，如神经管畸形、早产、窒息、吸入性肺炎、胎儿窘迫。死亡评审结果：可避免及创造条件可避免城市占２５ ％ ，农村占４１％ 。 结论 十年来北京市采取的降低围产儿死亡的各项干预措施是科学的、有效的，２０００ 年实现ＮＰＡ
Objective To study the changing trend of perinatal mortality and the efficiency of intervention in Beijing. Methods All deliveries occurring in Beijing between Jan. 1, 1988 to Dec. 31, 1997, were evaluated in this study. Data were derived from Beijing Perinatal Death Registry. The criterion of perinatal period is from 28 weeks' gestation to 7 days after birth, and birth weight was 1 000 g or more. Result Perinatal mortality decreased significantly from 15.73‰ in 1988 to 10.93‰ in 1997 ( P <0.001). The decrease rate was 10% every 3 year. Main reasons of perinatal deaths were congenital malformations, asphyxia and premature. The specific rate of death of neural tube defects, premature, asphyxia was declined significantly. Conclusion The intervention measures practiced in the ten years were effective. The problems and suggestion are proposed.
出处
《中华围产医学杂志》
CAS
1999年第2期67-69,共3页
Chinese Journal of Perinatal Medicine
关键词
死亡监测
死亡原因
围产儿
干预
Infant mortality Cause of death Prospective studies
