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目的:分析诸暨市围产儿死亡情况,探讨影响围产儿死亡的因素,为制定预防措施提供科学依据。方法:对诸暨市2007～2011年“妇幼卫生工作报表”以及围产儿死亡个案表进行回顾性调查分析。结果:2007～2011年围产儿为43 597例,死亡292例,死亡率为6.70‰,各年份间的差异无统计学意义(P>0.05)。先天畸形、早产低出生体重儿、母亲妊娠合并症和并发症仍是围产儿死亡的主要原因。因此,要降低围产儿死亡率需加强以下几方面的管理:一是要加强婚前保健和孕期保健,减少出生缺陷。二是要加强围产期健康教育,尤其是外来人口的孕期保健知识的宣传与指导,提高孕产妇自我保健意识。三是要加强业务培训,提高医务人员对高危妊娠的识别和管理能力,对妊娠合并症和并发症及早发现,及时治疗,适时转诊。
Objective: To analyze the perinatal mortality in Zhuji City, explore the factors that affect perinatal mortality and provide a scientific basis for making preventive measures. Methods: Retrospective analysis of Zhuji City 2007 ~ 2011 “maternal and child health work report” and perinatal death case list were retrospectively analyzed. Results: Between 2007 and 2011, there were 43 597 cases of perinatal deaths and 292 deaths. The mortality rate was 6.70 ‰. There was no significant difference between the years (P> 0.05). Congenital malformations, premature birth, low birth weight infants, maternal complications and complications of pregnancy is still the main cause of perinatal death. Therefore, in order to reduce the perinatal mortality rate, it is necessary to strengthen the management of the following aspects: First, to strengthen premarital and prenatal care and reduce birth defects. The second is to strengthen perinatal health education, especially for migrant population during pregnancy health knowledge advocacy and guidance to improve the awareness of maternal self-care. Third, we must strengthen business training and improve the ability of medical personnel to identify and manage high-risk pregnancies. Early detection and timely treatment of complications and complications of pregnancy should be promptly referred.