【摘要】 目的:了解江西省农村地区儿童保健指标的变化情况,探讨围产儿死亡率及新生儿死亡率的影响因素。方法:利用江西省1999年与2005年的妇幼卫生保健年报表,并对随机抽取的妇幼保健人员进行定性访谈。结果:新生儿死亡率、婴儿后期死亡率、婴儿死亡率、5岁以下儿童死亡率、新生儿破伤风发病率、低出生体重儿发生率、5岁以下儿童中重度低体重患病率均有所下降且有显著性差异(P<0.001):围产儿死亡率、新生儿破伤风病死率变化无统计学意义;0～3岁儿童系统管理率下降且有显著性差异(P<0.001)。1999年与2005年围产儿死亡率和新生儿死亡率的影响因素发生变化。结论:提高医疗质量,改善农村地区孕妇与围生儿在围产期医疗保健的可及性。更多还原

【Abstract】 Objective:Find out the differences of indexes in child health care between 1999 and 2005 and explore influencing factors of perinatal mortality rate and neonatal mortality rate.Methods:Use maternal and child health care annals in JiangXi province in 1999 and 2005 and interview the doctors and officials in health care field in 4 counties,which are sampled randomly among JiangXi province.Results:Declined indexes are neonatal mortality rate,later stage infant mortality rate,infant mortality rate,mortality rate under age 5,neonatal tetanus morbidity,proportion of low birth weight and moderate & severe innutrition morbidity under age 5.The varieties of perinatal mortality rate and neonatal tetanus mortality rate have no meaning in statistics.The proportion of child health care under age 3 is decreased(P<0.001).The influencing factors of perinatal mortality rate and neonatal mortality rate are different between 1999 and 2005.Conclusion:We should improve medical quality and increase access to perinatal health care among the pregnant women and perinatal babies in countryside.更多还原