2008-2012年围生儿死亡原因分析

目的：通过探讨2008-2012年该院围生儿死亡数、病死率及围生儿死亡的主要原因，提高围产保健工作质量，进一步降低围生儿死亡率。方法回顾性分析2008-2012年89例围生儿死亡资料，了解其特征。结果围生儿病死率7．79‰。本市户籍仅占全部围生儿死亡的7．87％，非本市户籍为92．13％，死胎比例最高，占总死亡数的52．81％，其次分别为新生儿死亡和死产。出生畸形居死亡因素中的首位，其次为脐带原因、早产、新生儿窒息、妊娠合并症及并发症等。结论提高非本市户口孕妇孕期保健意识，加强孕期筛查及监护，提高新生儿抢救能力，有助于降低围生儿病死率。

Perinatal death in a hospital of Hefei city from 2008 to 2012

Objective To improve the quality of perinatal health care and further reduce the perinatal death rate through investigating the perinatal death and perinatal fatality rate in The Second People ＇ s Hospital of Hefei from 2008 to 2012 .Methods We retrospec-tively analyzed the data of 89 cases of perinatal death from 2008 to 2012.Results Perioperative infants＇ mortality was 7.79‰.Among these deaths,infants of local population accounted for 7.87%,others 92.13%.Stillbirth（52.81%） accounted for the highest percent-age of all deaths ,followed by neonatal death and deadbirth .Birth deformities ranked the first place of death factors ,followed by umbili-cal cord causes,preterm birth,neonatal asphyxia,pregnancy complications and complications ,etc.Conclusions Nonlocal population should increase the awareness of pregnancy health care ,strengthen the prenatal screening and monitoring ,and improve the neonatal res-cue ability,which are helpful to reduce the perinatal mortality .