福建省2007-2011年新生儿死亡影响因素分析及干预对策研究

发布时间：2018-10-11 12:37

【摘要】：研究目的本课题立足于福建省建成新生儿救护网络，分析近五年内新生儿死亡现状，进而分析影响新生儿死亡的原因，探讨政策实施过程中的问题，进而提出改进措施，达到降低新生儿死亡的政策合理化。研究方法应用文献分析、半结构式访谈、观察法收集监测数据，并应用SPSS15.0统计软件进行统计描述和统计推断。研究结果1.2009年全省的新生儿死亡率与2001年比较，下降了67.2%，年平均下降速率达到11.6%。2.死亡新生儿出生体重构成中，“3000-”组所占比例为32.8%；出生体重不足2500g的新生儿所占比重合计为65%。3.新生儿死亡出生日龄分组中，“7天”所占比例最大达到75.7%。4.新生儿死亡出生地点在乡（街道）卫生院出生的比例由2008年的17.0%降低到2011年的8.0%，而在省（市）医院出生的比例则由2007年的19.7%增长到2011年的30.1%，但除2011年外，农村地区仍有近3%的死亡新生儿出生在家中或途中。5.新生儿前5位主要死亡原因分别是早产或低出生体重、出生窒息、其它先天异常、先天性心脏病以及肺炎。6.新生儿死亡地点以医院为主，各年来比例皆在80%左右。7.全省新生儿死前诊断级别构成中以县（区）医院所占比例最大，省（市）医院比例5年内增加了近9个百分点；而农村地区仍有2.1%的新生儿死前没有治疗。研究结论福建省新生儿死亡率自2000年起有明显下降，低于全国及东部水平；早产和低出生体重儿以及出生窒息是我省新生儿的主要死因，，包括先天性心脏病在内的先天异常在我省新生儿死因中的比例不断升高；同时城乡发展水平的不平衡、新生儿医疗保健服务的提供和利用能力的不足、产儿科协作能力不高是我导致我省新生儿死亡的主要原因。
[Abstract]:Objective this paper is based on the establishment of neonatal rescue network in Fujian Province, analyzes the present situation of neonatal death in recent five years, then analyzes the causes of neonatal death, probes into the problems in the process of policy implementation, and then puts forward some improvement measures. Rationalizing policies to reduce neonatal mortality. Methods document analysis, semi-structured interview and observation were used to collect the monitoring data, and SPSS15.0 software was used to describe and infer the data. Compared with 2001, the neonatal mortality rate in 2009 decreased 67.2%, and the annual average rate of decline reached 11.60.2. In the proportion of birth weight of dead newborns, the proportion of "3000-" group was 32.8g, and the proportion of newborns with birth weight less than 2500g was 65.3. In the group of neonatal death, the "7 days" accounted for the largest proportion of 75.7. 4. The proportion of births in township (street) hospitals decreased from 17.0% in 2008 to 8.0% in 2011, while the proportion of births in provincial (municipal) hospitals increased from 19.7% in 2007 to 30.1% in 2011, but with the exception of 2011, In rural areas, nearly 3 per cent of newborns are still born at home or en route. 5. 5. The leading causes of death in newborns were premature birth weight or low birth weight, birth asphyxia, other congenital abnormalities, congenital heart disease and pneumonia. Hospital is the main place of neonatal death, the proportion of each year is about 80. 7%. The proportion of county (district) hospitals was the largest in the premortem diagnosis grade of newborns in the province, and the proportion of provincial (municipal) hospitals increased by nearly 9 percentage points in 5 years, while 2.1% of the newborns in rural areas still had no treatment before death. Conclusion the neonatal mortality rate in Fujian Province has decreased significantly since 2000, which is lower than that in the whole country and the eastern part of China, and premature birth, low birth weight infants and asphyxia are the main causes of death of newborns in our province. The proportion of congenital abnormalities, including congenital heart disease, in the cause of death of newborns in our province is increasing. At the same time, the imbalance in the level of development between urban and rural areas and the lack of the ability to provide and utilize health care services for newborns, The main cause of neonatal death in our province is the low ability of paediatrics collaboration.
【学位授予单位】：福建医科大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R172

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