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目的分析近年来苏州市围产儿死亡率变化趋势及影响因素,探索降低围产儿死亡率的策略。方法对2003—2012年苏州市围产儿死亡资料进行统计分析。结果 10年中苏州市围产儿平均死亡率为7.66‰,并呈逐年下降趋势;围产儿死亡原因依次为胎儿先天异常、原因不明、脐带因素、母体因素、早产低体重。产妇年龄<20岁及>34岁组的围产儿死亡率较高;外地户籍围产儿死亡率高于本地户籍(P<0.05);不同性别围产儿死亡率差异无统计学意义(χ2=0.34,P>0.05)。结论应该加大宣传力度,使孕产妇自觉接受相关服务,及早发现异常情况,及时处理,并做好围产儿死亡的评审工作,提高医务人员综合救治水平。
Objective To analyze the trend and influencing factors of perinatal mortality in Suzhou in recent years and to explore strategies to reduce perinatal mortality. Methods The data of perinatal death in Suzhou from 2003 to 2012 were statistically analyzed. Results The average perinatal mortality rate in Suzhou was 7.66 ‰ in 10 years, and showed a decreasing trend year by year. The causes of perinatal death were congenital anomalies of the fetus, unexplained causes, umbilical cord factors, maternal factors and preterm low birth weight. The perinatal mortality rate of males <20 years old and> 34 years old was higher than those of local residents (P <0.05). There was no significant difference in perinatal mortality between different sexes (χ2 = 0.34, P> 0.05). Conclusions Publicity should be intensified so that pregnant women can voluntarily receive relevant services, detect abnormalities as soon as possible and deal with them promptly. They should also evaluate the perinatal deaths and improve the comprehensive medical treatment.