摘要
目的通过分析新生儿科住院患儿死亡的相关因素,探讨降低住院新生儿病死率的有效措施。方法对喀什地区第一人民医院新生儿科2013-2018年住院死亡新生儿的病历资料进行回顾性分析。结果2013-2018年共收治新生儿17374例,死亡751例(包括在院死亡166例和自动出院后死亡585例),病死率4.32%;死亡新生儿男女性别之比为2.05:1;早产儿占死亡新生儿的73.1%;低出生体重儿占死亡新生儿的62.4%;81.5%的新生儿死亡发生在出生7 d内;72.3%的死亡新生儿合并异常产科因素;新生儿呼吸窘迫综合征是早产儿死亡的首位死因,占早产儿死因构成的82.7%;足月儿的主要死因为感染性疾病和重度窒息及相关并发症,两者占足月儿死因构成的73.3%。结论加强孕期保健和胎儿监测,避免早产,及时给新生儿呼吸窘迫综合征的早产儿或高危儿使用肺表面活性物质,积极开展复苏技术培训,增加医保报销比例,减少放弃率,是降低新生儿病死率的有效措施。
Objective To explore effective measures to reduce the mortality of hospitalized neonates by analyzing the related factors of neonatal deaths.Methods A retrospective analysis of the case data of neonates born in the department of neonatology of First People's Hospital of Kashgar from 2013 to 2018.Results From 2013 to 2018,a total of 17,374 neonates were admitted to hospital,resulting in 751 deaths(including 166 deaths in hospital and 585 deaths after automatic discharge),with a case fatality rate of 4.32%.The ratio of male to female in newborn deaths was 2.05:1.Premature babies account for 73.1 percent of newborn deaths.Low birth weight accounted for 62.4%of all newborn deaths.81.5%of newborn deaths occur within 7 days of birth.72.3%of newborn deaths were associated with abnormal obstetric factors.Neonatal respiratory distress syndrome was the leading cause of death among premature infants,accounting for 82.7%of all premature deaths.The main causes of death in term infants are infectious diseases and severe asphyxia and related complications,both accounted for 73.3%of all infant deaths.Conclusion Strengthening pregnancy care and fetal monitoring,avoiding preterm birth,timely applying pulmonary surfactant to premature infants or high-risk infants with neonatal respiratory distress syndrome,actively carrying out resuscitation technical training,increasing the proportion of medical insurance reimbursement and reducing the abandonment rate are effective measures to reduce neonatal mortality in our hospital.
作者
刘燕丽
孜拉亚提·艾尼瓦尔
刘勋
LIU Yanli;Zi la ya ti·Ai ni wa er;LIU Xun(Department of Neonatology,the First People's Hospital of Kashgar Prefecture,Xinjiang,Kashgar,844000,China;Department of Neonatology,the Second Department of Respiratory and Critical Disease,the First People's Hospital of Kashgar Prefecture,Xinjiang,Kashgar,844000,China)
出处
《新疆医学》
2019年第7期705-708,共4页
Xinjiang Medical Journal
关键词
新生儿
死亡原因
病死率
重度窒息
新生儿呼吸窘迫综合征
Newborn
Death Reason
Fatality Rate
Severe Asphyxia
Neonatal Respiratory Distress Syndrome
