摘要
目的分析2019年福建省围生儿的死亡情况及影响因素。方法收集2019年1~12月福建省出生缺陷监测体系内103所医院的围生儿的临床资料,对三级妇幼保健网收集的全部围生儿死亡个案进行统计分析。结果2019年共监测围生儿274815例,围生儿死亡1186例,围生儿死亡率为4.32‰,其中死胎死产占首位,共1024例(86.3%),其次为早期新生儿死亡162例(13.7%)。围生儿死亡与产妇年龄、胎数以及是否合并出生缺陷有关,产妇低龄或高龄、双胎及多胎以及合并出生缺陷可增加围生儿死亡率,差异均有统计学意义(χ^2=31.581、46.431、3872.513,P<0.001)。围生儿死亡的主要原因为出生缺陷、早产、脐带因素、出生窒息和胎盘因素。结论出生缺陷是福建省围生儿死亡的一个重要原因,开展婚前健康检查、孕前优生健康检查,提高产前筛查与诊断水平,早发现、早诊断,适时终止妊娠,降低致死性出生缺陷发生率;同时加强围生保健与产儿科协作,及时识别、处理高危妊娠,减少早产和出生窒息发生,是降低围生儿死亡率的关键。
Objective To analyze the perinatal mortality and related factors in Fujian Province in 2019.Methods Clinical data of perinatal infants were selected from 103 hospitals,which were in the birth defect monitoring system of Fujian Province from January to December 2019.And all perinatal death cases collected by the Three-level Maternal and Child Health Network were statistically analyzed.Results A total of 274815 perinatal infants were monitored in 2019,and the number of perinatal deaths were 1186 and perinatal mortality rate was 4.32‰.Stillbirth was accounted for the first place with 1024 cases(86.3%),followed by early neonatal deaths with 162 cases(13.7%).Perinatal death was related to maternal age,number of fetuses,and birth defects.Elderly or young maternal,twins and multiple births,and combined with birth defects could increase perinatal mortality,the differences were statistically significant(χ^2=31.581,46.431,3872.513,P<0.001).The main causes of perinatal death were birth defects,premature birth,umbilical cord factors,birth asphyxia and placental factors.Conclusion Birth defects are an important cause of perinatal death in our province.The key measures to reduce perinatal mortality are listed in the following,including carrying out pre-marital health check and pre-pregnancy health check,improving the level of prenatal screening and diagnosis,early detection,early diagnosis,and timely termination of pregnancy to reduce the occurrence of fatal birth defects.At the same time,it is important to strengthen the collaboration between perinatal care and obstetrics,timely identify and handlle high-risk pregnancies,reduce the occurrence of premature birth and birth asphyxia.
作者
林英英
张蓉华
修晓燕
陈熔
林丽华
林娟
LIN Ying-ying;ZHANG Rong-hua;XIU Xiao-yan;CHEN Rong;LIN Li-hua;LIN Juan(Department of Healthcare,Fujian Maternity and Child Health Hospital,Fujian Province,Fuzhou350001,China;Department of Women′s Health,Fujian Maternity and Child Health Hospital,Fujian Province,Fuzhou350001,China;Department of Health Education,Fujian Maternity and Child Health Hospital,Fujian Province,Fuzhou350001,China;Department of Child Health,Fujian Children′s Hospital,Fuzhou350001,China)
出处
《中国当代医药》
2020年第36期98-101,共4页
China Modern Medicine
基金
国家重点研发计划课题(2016YFC1000102-4)。
关键词
围生期死亡
先天缺陷
高龄产妇
Perinatal mortality
Birth defects
Advanced-age maternal
