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目的:了解中山市2006~2010年新生儿死亡率和死因顺位的变化趋势,为今后的防控工作提供参考依据。方法:对2006~2010年中山市范围内的新生儿死亡数据进行回顾性分析。结果:2006~2010年共发生新生儿死亡750例,占总活产数的2.98‰。7天内新生儿死亡占全部新生儿死亡的77.33%。从新生儿死亡率的变化趋势来看,2007年和2010年分别较前1年有明显下降,2007~2009年之间变化不大。出生窒息、其他新生儿疾病和早产、低出生体重历年来均位于死因顺位的前3位。结论:加强农村孕妇的健康教育,规范高危妊娠的监测和三级转诊,强化各级医院的新生儿复苏和新生儿疾病诊治水平,预防早产和低出生体重发生,普及血清学和超声学的产前筛查和产前诊断,进一步完善针对流动人口管理的防控措施能降低新生儿死亡率。
Objective: To understand the change trend of neonatal mortality rate and cause of death in Zhongshan City from 2006 to 2010, and to provide reference for future prevention and control work. Methods: A retrospective analysis was conducted on neonatal death data in Zhongshan City from 2006 to 2010. Results: From 2006 to 2010, there were 750 neonatal deaths, accounting for 2.98 ‰ of total live births. Neonatal deaths accounted for 77.33% of all neonatal deaths within 7 days. According to the change trend of neonatal mortality rate, there was a marked decline in 2007 and 2010 respectively from the previous year, with little change from 2007 to 2009. Birth asphyxia, other newborn diseases and premature birth, low birth weight over the years are located in the top three causes of death. Conclusion: To strengthen the health education of pregnant women in rural areas, to regulate the monitoring and third-level referral of high-risk pregnancies, to strengthen the level of diagnosis and treatment of neonatal resuscitation and neonatal diseases at all levels of hospitals, to prevent premature birth and low birth weight, to promote serological and ultrasonographic Prenatal screening and prenatal diagnosis, to further improve the management of floating population prevention and control measures can reduce neonatal mortality.