【摘要】 目的了解济南市近11 a来围产儿死亡率(PM R)的动态变化趋势,进一步提高该地区围产保健水平,为降低PM R提供科学依据。方法通过济南市1994~2004年度孕产妇信息报表系统、围产儿死亡调查表和围产儿死亡登记簿,获得济南市在上述期间的产妇总数、分娩总数、活产数与死胎、死产数以及早期新生儿死亡数和围产儿死亡总数等数据。结果近11 a来,济南市共有围产儿586 569例,其中死胎、死产3 390例,早期新生儿死亡3 590例,围产儿死亡6 980例。济南市11 a的PM R平均为11.91‰。近11 a来的济南市PM R变化不大,2000~2004年的PM R较1994~1999年度高,2000年度为最高。城市的PM R略低于农村。结论随着产科质量及新生儿抢救技术的提高,PM R无明显下降趋势。济南市农村的围产保健工作还应加强。更多还原

【Abstract】 Objectives: The study is to analyze the perinatal mortality and delivery data from 1994 to 2004 in Jinan.It aims to provide scientific evidence for helping inform efficient intervention strategies and improve the perinatal care in the community.Methods: Data on perinatal mortality and delivery was collected through maternal and child health information reporting system of jinan,perinatal death investigate table and perinatal death registration book.The related data were collected by retrospective study.Diverse statistical methods including χ~2 test.Result:The total eligible infants are 586 569.The average perinatal mortality is about 11.91‰.The proportion of deaths in the eleven years shows the same pattern.The perinatal mortality in 2000~2004 is higher than that in 1994~1999.The perinatal mortality in city is lower than chat in village.Conclusion: The perinatal mortality does not drop with the progress of quality of obstetrics.The work of perinatal care in Jinan needs to be progressed to decrease the perinatal mortality.更多还原