2011-2015年吉林省孕产妇死亡监测结果分析

发布时间：2018-03-06 18:06

本文选题：孕产妇　切入点：死亡率　出处：《吉林大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的利用吉林省2011-2015年孕产妇死亡监测数据,分析吉林省2011-2015年孕产妇死亡率和动态变化规律及其死因分布特点,探讨影响孕产妇死亡的原因,进一步提出降低孕产妇死亡率的干预策略,为各级卫生行政部门制定改善孕产妇保健服务方案提供依据。方法本次研究通过吉林省三级妇幼保健网络收集相关资料,收集县级、市(州)级、省级卫生计生部门每季度组织相关学科的评审专家开展孕产妇死亡评审结果数据。对所收集数据及相关报表、报告卡进行整理,采用Excel软件建立数据库并进行描述性统计分析,主要分析指标为孕产妇死亡率,孕产妇死亡相关因素和死亡评审结果分析主要采用构成比进行统计描述。结果1.吉林省2011-2015年死亡孕产妇176例,活产总数为934618,5年平均孕产妇死亡率为18.83/10万。2014年吉林省孕产妇死亡率达到五年峰值,为25.73/10万,动态观察可见我省孕产妇死亡率已经趋于稳定,基本低于全国孕产妇死亡率平均水平。2.吉林省2011-2015五年间各市(州)孕产妇死亡率逐年发生变化。动态观察可见:长春、吉林孕产妇死亡率控制较好,五年孕产妇死亡率均低于全省平均水平;四平、白城、松原孕产妇死亡率相对较高,五年间有四年均高于全省平均水平;其余地区与全省同期比较,也偶有高发现象。五年间农村平均孕产妇死亡率(19.5/10万)高于城市平均孕产妇死亡率(17.9/10万)。3.五年间死亡孕产妇年龄集中在25-29岁年龄组,占35.8%。五年间初中及以下文化程度死亡孕产妇较多,占81.2%。初产妇多于经产妇,占51.7%。孕产妇死于孕晚期较多,占63.6%。死亡孕产妇剖宫产者较多,占66.4%。五年间死亡孕产妇分娩者116例,分娩地点为省(市)医院较多,占58.6%,死亡地点为省(市)医院较多,占58.0%。4.吉林省2011-2015五年间死因构成以间接产科死因为主(占53.4%),其次为直接产科死因(占44.3%)。五年间,吉林省孕产妇死因顺位排名,第一位为产科出血(40例,占死因的22.7%),第二位为肺栓塞(17例,占死因的9.7%),第三位为妊娠期高血压疾病(12例,占死因的6.8%),第四位为肺炎(10例,占死因的5.7%)。5.吉林省2011-2015五年间孕产妇死亡176例,根据省级评审结果:有延误者占69.3%,其中各级医疗保健机构处理延误84例,占47.7%。77.3%(136/176)死亡孕产妇有影响因素,其中各级医疗保健人员知识技能问题48例,占35.3%,可避免死亡占51.7%。结论1.2011-2015年吉林省孕产妇死亡率已经趋于稳定,基本低于全国孕产妇死亡率平均水平。2.2011-2015年吉林省各市(州)孕产妇死亡率逐年发生变化,长春、吉林孕产妇死亡率控制较好,四平、白城、松原孕产妇死亡率相对较高。3.2011-2015年吉林省死亡孕产妇以农村、25-29岁年龄组、初中及以下文化程度的初产妇为主,死亡多发生在孕晚期,以剖宫产结束分娩,分娩地点及死亡地点为省(市)级医院较多。4.2011-2015年吉林省死亡孕产妇死因构成以间接产科死因为主。五年间,吉林省孕产妇死因顺位前四位为:产科出血、肺栓塞、妊娠期高血压疾病、肺炎。5.2011-2015年吉林省死亡孕产妇176例,根据省级评审结果,51.7%的死亡孕产妇为可避免死亡,提示亟需进一步提高我省孕产期系统保健服务质量和医疗技术水平。
[Abstract]:To use 2011-2015 years of Jilin province maternal death monitoring data, analysis of Jilin province 2011-2015 years of maternal mortality and the variation and distribution characteristics of the cause of death, causes of maternal death, further reducing maternal mortality and intervention strategies, to provide evidence to improve maternal health care service for the health administrative departments at all levels. Through the study of Jilin Province three levels of maternal and child health care network to collect relevant information, collect county, city (prefecture) level, the provincial health department quarterly organize related disciplines review experts to carry out the results of the review of maternal mortality data. The collected data and related reports, report card sorting, establish database and descriptive statistical analysis by Excel software, the main analysis the index for the maternal mortality rate, maternal mortality and death related factors analysis results of the review The proportion for statistical description. The results of the 1. Jilin province 2011-2015 years of maternal deaths in 176 cases, the total number of live births for 934618,5 average maternal mortality rate was 18.83/10 million.2014 in Jilin Province, the maternal mortality rate reached a five year peak, 25.73/10 million, dynamic observation of our province maternal mortality rate has stabilized, the maternal mortality rate is lower than the national average level of basic.2. five years in Jilin province 2011-2015 municipalities (state) the maternal mortality rate year by year changes. Dynamic observation: Changchun, Jilin maternal mortality is well controlled and the rate is lower than the provincial average of five years of maternal death; Siping, Baicheng, Songyuan, the maternal mortality rate is relatively high, with an annual average of four higher than the average of five years compared with the rest; at the same time, the occasional high phenomenon. Five years rural average maternal mortality rate (19.5/10 million) higher than the city average pregnancy And the mortality rate (17.9/10 million).3. five years of maternal death age concentrated in 25-29 age group, accounting for 35.8%. five years of junior high school and below level of maternal deaths accounted for more than 81.2%. of primipara multipara, pregnant women died of late pregnancy 51.7%. accounted for more deaths accounted for 63.6%. more maternal cesarean section, 116 cases of 66.4%. accounted for five during the period of maternal deaths in childbirth, birth place of province (city) hospital more, accounted for 58.6%, the place of death for the province (city) hospital more, accounted for 58.0%.4. of Jilin Province in 2011-2015 to five years the cause of death mainly indirect obstetric causes (53.4%), followed by direct obstetric causes of death (44.3%). Five years, pregnant women in Jilin province the rank ranking first for obstetric hemorrhage (22.7% cases of 40, accounting for second deaths), pulmonary embolism (9.7% cases of 17, accounting for the cause of death, third) for hypertensive disorders in pregnancy (6.8% in 12 cases, accounting for fourth deaths), pneumonia (10 The cause of death in 5.7% cases, accounting for 2011-2015 and five.5.) of Jilin Province, 176 cases of maternal deaths, according to the provincial assessment results: delays accounted for 69.3%, the processing delay at all levels of medical institutions in 84 cases, accounting for 47.7%.77.3% (136/176) are the influencing factors of maternal mortality, including health care knowledge and skills of medical personnel at all levels in 48 cases, accounting for 35.3% conclusion 51.7%. can avoid death, accounting for 1.2011-2015 in Jilin Province, the maternal mortality rate has stabilized, the maternal mortality rate substantially below the national average in the.2.2011-2015 cities in Jilin province (state) maternal mortality rate changes year by year, Changchun, Jilin maternal mortality is well controlled, Siping, Baicheng, Songyuan, the maternal mortality rate is relatively high in Jilin province.3.2011-2015 of maternal deaths in rural areas. 25-29 years old, junior high school and below level of primipara, death occurred in late pregnancy, cesarean section in the end Delivery, delivery place and the place of death for the province (city) level hospital in Jilin province.4.2011-2015 more maternal death causes of death in indirect obstetric causes. In five years, Jilin Province Maternal Mortality four: obstetric hemorrhage, pulmonary embolism, pregnancy induced hypertension, pneumonia in Jilin province.5.2011-2015 of maternal deaths in 176 cases, according to the the provincial assessment results, 51.7% of maternal deaths to avoid death, that need to further improve our province maternal care services quality and level of medical technology.

【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R173

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