730例育龄妇女死亡原因及相关因素分析

目的:分析影响韶关市城区育龄妇女死亡的相关因素,探讨相应的干预措施。方法:对韶关市城区常住人口1998~2006年的育龄妇女死亡资料进行回顾性分析。结果:育龄妇女死亡730例,恶性肿瘤(39.32%)与意外死亡(29.32%)是育龄妇女死亡的主要原因。在恶性肿瘤死因中,居前3位的分别是消化系肿瘤、呼吸系肿瘤和乳腺癌,但居首位的单一疾病却是乳腺癌。交通事故和自杀是意外死亡的主要原因。不同年龄的育龄妇女恶性肿瘤和意外死亡的构成比在统计学上有显著性差异(P<0.001)。结论:降低恶性肿瘤和意外死亡的发生率,是降低育龄妇女死亡的关键。在开展健康教育时,对年龄偏大的育龄妇女,应普及自身防癌知识,尤其是乳腺的"自我检查",并加强对肿瘤的防治;对年龄偏小者以开展人生观和道德观教育为主,培养其良好的心理素质,降低意外事故的发生率。

Analysis of the causes related to 730 death cases of childbearing women

Objective:To learn the factors related to the death of childbearing women in Shaoguan city and provide knowledge of formulating interventions,so as to lower the mortality of childbearing women and improve maternal health thereby.Methods:The death of childbearing women resided permanently in Shanguan city from 1998 to2006 was analyzed retrospectively.Results:According to the 730 death cases of childbearing women in Shaoguan city,the main death causes of which were malignant tumor(39.32%) and accidental death(29.32%).Among the death causes of malignant tumor,the first 3 systemic diseases were orderly digestive tract tumor,respiratory tract tumor and breast cancer,but the first single disease was breast cancer.The main death causes of accidental death were traffic accident and suicide.The main cause of death was changed with the age of childbearing woman,and there was statistical difference(P<0.001)between the constituent ratio of the death of malignant tumor and accidental death.Conclusion:More efforts should be made on reducing the occurring rate of malignant tumor and accidental death to lower the mortality of childbearing women.As to the health-care education,the emphasis of the content should be varied with the age of childbearing women.For the elder childbearing women,in order to reduce the occurring rate of malignant tumor,it should be more emphasized and educated more widely that the self-prevention knowledge of cancer,especially the self-examination of breast cancer,together with the improvement of the prevention and cure of tumor.For the younger childbearing women,more attention should be paid to the cultivation of high psychological quality by use of the education of philosophy of life and moral concept,so as to lower the occurring rate of accidental death.