北京市海淀区围生儿死亡状况动态分析

目的探讨北京市海淀区围生儿死亡变化规律和主要死亡原因。方法资料来源于北京市围生儿死亡监测网,采用以人群为基础的监测方法。围生儿死亡数据来源于分娩医院或地段保健科填写的北京市围生儿死亡报告卡。结果海淀区1997~2005年平均围生儿死亡率7.09‰,由1997年的8.22‰降至2005年的4.24‰;早期新生儿死亡率由1997年的3.82‰降至2005年的2.01‰。围生儿死亡和早期新生儿死亡的首位死因均为出生缺陷,早期新生儿死亡中出生缺陷死亡专率呈下降趋势。结论海淀区围生儿死亡率降低主要是早期新生儿死亡率降低所致,早期新生儿死亡率降低的主要原因是围生期的出生缺陷儿减少。

Analysis on the status of perinatal mortality in HaiDian district of Beijing city

Objective To understand the trend and major causes of perinatal mortality in Haidian district of Beijing city. Methods Data were derived from Beijing Perinatal Monitoring network-a community based perinatal mortality registry system. Results Perinatal mortality rate was 7.09 per 1000 in 1997-2005 in Haidian district in Beijing, declined from 8.22 per 1000 in 1997 to 4.24 per 1000 in 2005; early neonatal death rate declined from 3.82 per 1000 in 1997 to 2.01 per 1000 in 2005. Birth defects became the major cause of perinatal deaths and early neonatal death, and the birth defect specific death rate of early neonatal death showed a downward trend. Conclusion The decrease of early neonatal death rate was the cause of the decrease of perinatal mortality rate in Haidian District in Beijing, and the fewer cases of birth defect into perinatal period was the main cause of the decrease of early neonatal death rate.