摘要
目的通过昆明地区早产儿死亡原因的变化分析,为地方卫生行政管理部门制定妇幼保健政策提供依据,以降低本地区早产儿死亡率.方法对2005年6月至2009年5月期间死亡的75例早产儿的临床资料进行回顾性分析,分析结果与已总结的2001年5月至2005年5月期间死亡的51例早产儿资料进行比较.结果发现死亡的双胎早产儿增多,差异有统计学意义.其次发现早产儿死亡原因顺位有改变,窒息仍为首位死亡原因,80%由基层医院转入;先天异常成为顺位第二的死因,而肺透明膜病的顺位后延.结论应注意加强早产双胎儿的病情观察及监护;因先天异常死亡的早产儿增多,应积极开展出生缺陷监测工作,采取三级干预措施,控制先天异常发生.
Objective To analyze the death causes of premature infants in Kunming,so as to provide the basis for the local health authority to make better policy of women and children health to reduce the death rate of premature infants.Method The clinical data of 75 premature infants in Kunming from June 2005 to May 2009 were analyzed retrospectively,and were compared with the previous data of 51 premature infants from May 2001 to May 2005.Results The death rate of twin premature infants was increasing by years,and there was a statistically significant difference between the data in two periods（P〈0.05）.The order of death causes of premature infants changed a little.The first death cause was still asphyxia,and 80% cases of asphyxia were transferred from primary hospital.However congenital abnormalities had become the second death cause,followed by the hyaline membrane disease.Conclusion It is important to pay more attention to the twin premature fetus.At the same time,we should improve the fetal monitoring for congenital abnormalities in three levels of hospitals to control its occurrence.
出处
《昆明医学院学报》
2010年第4期72-76,共5页
Journal of Kunming Medical College
关键词
早产儿
死亡原因
窒息
先天异常
Premature infant
Death cause
Asphyxia
Congenital abnormalities
