【摘要】 目的:对舟山市死亡围产儿分布特征及其发展趋势分析研究,为降低围产儿死亡提供参考依据。方法:采集2006-2014年舟山市417例死亡围产儿的死亡个案表和病史资料,利用卡方检验和趋势卡方检验分析死亡特征分布一致性和死亡率变化趋势。结果:2006-2014年舟山市围产儿死亡率为6.53‰,非本市户籍围产儿死亡率超出本市户籍者4.71个千分点(χ2=4.36,P=0.04);近9年全市合计、本市户籍和非本市户籍围产儿死亡率均有不同程度的下降趋势(χ2趋势=11.59,P=0.001;χ2趋势=5.72,P=0.017;χ2趋势=15.49,P=0.000)。本市户籍围产儿死亡的死因以出生缺陷(76例,50.68%)为主,非本市户籍围产儿死亡死因则以母亲疾病(42例,占28.00%)为主;本市户籍和非本市户籍死亡围产儿在死亡胎龄、性别、死亡地点等三个方面的构成分布基本一致(χ2=1.14,P=0.566;χ2=3.38,P=0.184;χ2=5.64,P=0.059),但两者生产方式和建册情况方面的构成分布不一致(χ2=7.99,P=0.046;χ2=237.62,P=0.000),非本地户籍死亡围产儿中孕期未建册的比例高达48.67%,而本地户籍者仅0.07%。结论:近年来舟山市围产儿死亡率呈现下降趋势,非本市户籍孕妇建册服务管理需进一步加强。更多还原

【Abstract】 Objective To analyze the distribution character and trend of perinatal deaths in Zhoushan city and to provide evidence for decreasing it.Methods Registration forms and medical histories of 417 perinatal death cases were collected.Chi-square test and tendency Chi-square test were conducted to analyze the consistency of mortality distribution and trend of the mortality.Results Mortality rate of perinatal infants from 2006 to 2014in Zhoushan city was6.53‰.The mortality rate of perinatal infants with non-local census register was higher by 4.71 millesimal points(χ2=4.36,P=0.04).It showed declining trends in mortality rates of perinatal infants in Zhoushan city,with local and non-local census register during recent 9years(χ2trend=11.59,P=0.001;χ2trend=5.72,P=0.017;χ2trend=15.49,P=0.000).The primary cause of deaths of perinatal infants with local census register was birth defect(76,50.68%)and that of perinatal infants with non-local census register was mother’s diseases(42,28.00%).There were no significant differences in proportions of gestational age,gender and place of death among dead perinatal infants between local and non-local census register(χ2=1.14,P=0.566;χ2=3.38,P=0.184;χ2=5.64,P=0.059),while there were significant differences in mode of delivery and registry administration(χ2=7.99,P=0.046;χ2=237.62,P=0.000).The proportion of unregistered during pregnancy in dead perinatal infants of non-local census register was high at48.67%,that of local census register was only 0.07%.Conclusions It shows a declining trend in mortality rates of perinatal infants in Zhoushan city in recent years.The registry management service for pregnant women of non-local census register is to be strengthened.更多还原