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目的了解深圳市光明医院围产儿死亡原因及其影响因素,进一步降低围产儿死亡率。方法对深圳市光明医院2004年10月1日—2010年9月30日出生的围产儿进行回顾性分析。结果 (1)这6年该院分娩的围产儿共12 191例,围产儿死亡73例,死亡率为5.99‰,近3年围产儿死亡率明显降低,差异具有统计学意义;(2)围产儿的死亡原因首位为先天畸形,占构成比23.29%,死亡原因第2位为不明原因;(3)流动人口围产儿死亡率较高。结论 (1)加强孕产期保健知识的宣传,提高孕产妇文化素质及自我保健意识,自觉接受围生期保健。(2)开展优生优育咨询,提高孕期监测质量和宫内诊断技术,减少孕足28周畸胎的治疗性引产数。(3)提高医疗保健人员诊疗技术,加强高危孕产妇的管理和严格遵守高危妊娠转诊制度。
Objective To understand the causes of perinatal death and its influencing factors in Shenzhen Guangming Hospital to further reduce the perinatal mortality rate. Methods A retrospective analysis of perinatal neonates born in Shenzhen Guangming Hospital from October 1, 2004 to September 30, 2010 was conducted. Results (1) In the past 6 years, there were 12,191 perinatal births and 73 perinatal deaths in this hospital with a mortality rate of 5.99%. The perinatal mortality rate in the past three years was significantly lower with statistically significant differences. (2) The first cause of death in children born congenital malformations, accounting for 23.29% of the composition, the second cause of death for unknown reasons; (3) floating population higher perinatal mortality. Conclusions (1) To strengthen the publicity of knowledge of maternal health, improve the cultural quality of maternal and self-care awareness, and consciously accept perinatal health care. (2) to carry out prenatal and postnatal care consulting, improve the quality of monitoring during pregnancy and intrauterine diagnosis techniques to reduce pregnancy-induced 28 weeks of teratogenic treatment of induced labor. (3) To improve the diagnosis and treatment of health care workers, strengthen the management of high-risk maternal and strict compliance with the referral system of high-risk pregnancy.