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目的:探讨杭州市围产儿死亡的流行趋势和主要影响因素,提出干预措施,以降低围产儿死亡率。方法:对杭州市2004-2009年4个省级卫生监测点内发生的围产儿死亡监测资料进行回顾性分析。结果:6年围产儿死亡率为11.69‰,死胎、死产、早期新生儿死亡率分别是8.71‰、0.40‰,2.59‰,其构成比分别为74.45%、3.42%、22.12%,6年中监测区内围产儿死亡率呈波动下降,死胎在历年死亡中居第一位,出生缺陷居历年死亡原因首位,占死亡总数的42.61%。结论:要进一步降低围产儿死亡率,关键是加强围产保健工作,提高产前诊断水平,有效控制出生缺陷的发生和出生。
Objective: To investigate the prevalence and main influencing factors of perinatal death in Hangzhou and put forward intervention measures to reduce perinatal mortality. Methods: The data of perinatal death monitoring data in 4 provincial health monitoring sites in Hangzhou from 2004 to 2009 were analyzed retrospectively. Results: The 6-year perinatal mortality rate was 11.69 ‰. The stillbirth, stillbirth and early neonatal mortality rates were 8.71 ‰, 0.40 ‰ and 2.59 ‰ respectively, with the proportions of 74.45%, 3.42% and 22.12%, respectively The perinatal mortality rate in the monitoring area fluctuated declining. The stillbirths ranked the first among all the deaths in history. The birth defects were the highest among deaths in previous years, accounting for 42.61% of the total deaths. Conclusion: To further reduce perinatal mortality, the key is to strengthen perinatal care, improve the level of prenatal diagnosis, and effectively control the birth and birth defects.