摘要
目的分析台州市围产儿死亡情况及影响因素,为降低围产儿死亡率提供依据。方法收集台州市2012—2016年围产儿死亡监测资料、出生缺陷报表及非户籍孕产妇健康状况报表进行回顾性分析,比较不同年份、户籍和地区围产儿死亡率、出生缺陷率和高龄产妇比例等指标,分析围产儿死亡的影响因素。结果 2012—2016年台州市围产儿平均死亡率为6.80‰,呈下降趋势(P<0.01);流动人口围产儿死亡率(9.28‰)高于本地人口(5.64‰)(P<0.01)。高龄产妇比例为10.30%,呈上升趋势(P<0.01),高龄产妇围产儿死亡率为10.60‰,高于围产儿平均死亡率(P<0.01)。围产儿首位死因是出生缺陷,出生缺陷率为35.86‰,呈上升趋势(P<0.01),但出生缺陷死亡率呈下降趋势(P<0.01)。台州市各县(市、区)围产儿死亡率、出生缺陷率、男女性别比和高龄产妇比例差异均有统计学意义(P<0.01)。流动人口围产儿母亲的年龄相对较小、文化程度低、孕产次多和建卡孕周晚(均P<0.01)。结论台州市围产儿死亡率呈逐年下降趋势;高龄产妇、出生缺陷和流动人口是围产儿死亡的主要影响因素。
Objective To analyze the factors correlated with perinatal death so as to provide the basis for reducing the perinatal mortality.Methods A respective study was conducted with analysis of perinatal mortality monitoring data,birth defects data and the health status report of non-registered pregnant women from 2012 to 2016 in Taizhou.We compared the differences in the indexes of perinatal mortality,birth defects rate and the proportion of elderly pregnant women in different years,domicile place and regions.Results The perinatal mortality rate was 6.80‰,decreasing annually from 2012 to 2016（P0.01）.The average perinatal mortality rate of floating population was 9.28‰,which is higher than the 5.64‰ rate of local population（P0.01）.The proportion of elderly pregnant women was 10.30%,showing an upward trend（P0.01）and the perinatal mortality of elderly pregnant women was 10.60‰,significantly higher than the total mortality（P0.01）.The leading cause of perinatal death was birth defect and the defect rate of perinatal birth was 35.86‰,showing an upward trend（P0.01） while the average mortality rate of birth defects was decreasing（P0.01）.There were statistically significant differences（P0.01） in perinatal mortality,birth defects,sex ratio and proportion of elderly pregnant women in different regions of Taizhou.Compared with the perinatal in local population,mother age,education background,maternal times and register time of pregnant women of the perinatal in floating population was significantly different（P0.01）.Conclusion The perinatal mortality in Taizhou declined year by year.Elderly pregnant age,birth defects,and floating population are the main positive factors of perinatal mortality.
出处
《预防医学》
2017年第9期899-902,共4页
CHINA PREVENTIVE MEDICINE JOURNAL
关键词
围产儿死亡率
高龄产妇
出生缺陷
影响因素
Perinatal mortality
Maternal mortality
Birth defects
Perinatal health care
