摘要
目的探讨新生儿窒息死亡的变化规律。方法借鉴研究经济现象的方法,用发展速度和发展水平指标描述如皋市1991—2010年新生儿窒息死亡专率,运用动态数列分析技术,建立数学模型,分析动态变化。结果二十年新生儿窒息死亡专率平均水平为153.21/10万,在婴儿死亡中新生儿窒息为第4位死因,是新生儿死亡的第1位死因,占新生儿死亡的21.44%。在新生儿窒息死亡中,0天死亡占51.25%,7天内死亡占92.80%,出生于一级医院占78.95%,死于医院占85.87%。前10年新生儿窒息死亡专率呈指数曲线负增长,平均下降10.8/10万,后十年呈六次多项式曲线,波动起伏,平均上升0.07/10万。结论农村一级医院是新生儿窒息防治的重点环节,采取积极有效措施防治新生儿窒息将有助于控制并进一步降低新生儿窒息死亡率。
Objective To investigate the epidemiological trend of infant mortality due to asphyxia.Methods Indicators of economical development were used to describe the neonatal asphyxia mortality rate in city of Rugao from 1991 to 2010.Results The average mortality rate of neonatal asphyxia was 153.21 per 100 000 over the past two decades.Neonatal asphyxia which accounts for 21.44%of neonatal death is the number one cause of neonatal mortality and the fourth cause of infant mortality.Among neonatal asphyxia related death：51.25%occurred on the day of birth,and 92.80% within seven days of life.Babies who were delivered in rural primary hospitals account for 78.95%of the asphyxia related infant mortality and among themm,85.87%babies passed away during hospital stays. The neonatal asphyxia related mortality rate had consistent decrease during 1991-2000 with an average annual reduction rate of 10.8 per 100 000 per year.During the following decade,the trend of the neonatal asphyxia infant mortality rate fluctuates and had an average rate increase of 0.07 per 100 000 per year.Conclusions Rural primary hospitals are key players in the prevention and treatment of neonatal asphyxia and in reduction of infant mortality rate.
出处
《中国新生儿科杂志》
CAS
2012年第3期157-160,共4页
Chinese Journal of Neonatology
基金
南通市社会事业科技创新与示范项目(S11935)
关键词
窒息
复苏
转运
动态分析
婴儿
新生
Asphyxia
Resuscitation
Transport
Dynamic analysis
Infant
newborn
