围生儿死亡原因分析及预防措施的探讨

目的分析围生儿死亡原因，探讨其预防措施，从而降低围生儿死亡率。方法统计2005年1月至2006年12月本院围生儿死亡病例，对报表分类汇总，根据统计结果进行死亡原因分析。结果围生儿死亡共166例，死亡率为27．08％0，死亡分类中死胎为126例，占75．90％。死亡原因分析中首位为出生缺陷，共69例，占41．57％，其中以胎儿水肿综合征为主；而脐带因素已升至围生儿死亡原因的第2位，共51例，占30．72％。结论提高孕期监护及自我保健意识，加强产前诊断和优生咨询，控制围生期出生缺陷的发生，多参数定期母胎监护，适时终止妊娠，可有效降低围生儿死亡的发生。

The analysis of causes of perinatal death and exploration of preventive measures

Objective To analyse the causes of perinatal death and explore the preventive measures ro reduce the perinatal mortality. Methods The cases with perinatal death in this hospital from January 2005 to December 2006 were revi6wed to analyse the causes of death by Categorization and sum-up. Results There were 166 cases with perinatal death and the mortality rate was 27.08%0, including 126 cases with fatal death, which accounted for 75.90 %. In the analysis of dead causes,the first one was birth defects, which suffered 69 cases,41.57 % of all,and mostly were with fetus edema syndrome. The cord factors had been elevated to the second cause, which suffered 51 cases,30.72 % of all. Conclusion Improving the consciousness of gestational monitoring and self-care,strengthening the prenatal diagnosis and genetic counseling, controlling the perinatal birth defects, monitoring mother and fetus by poly-parameter and stopping the pregnancy in time can reduce perinatal death effectively.