| 2009-2014年南京市新生儿死亡情况分析 |
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| 引用本文： | 刘静,曲红明.2009-2014年南京市新生儿死亡情况分析[J].现代预防医学,2015,0(22):4081-4083. |
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| 作者姓名： | 刘静 曲红明 |
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| 作者单位： | 南京医科大学附属南京妇幼保健院群体保健科，江苏 南京 210004 |
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| 摘 要： | 摘要:目的 了解南京市2009-2014年新生儿死亡状况，为进一步降低新生儿死亡率提供科学依据。方法 收集南京市2009-2014年5岁以下儿童死亡监测网中的新生儿死亡数据以及新生儿死亡评审资料进行分析。结果 2009-2014年南京市新生儿死亡率为2.92‰，其中早期新生儿死亡率2.12‰，占所有新生儿死亡的72.71%。新生儿死亡率呈逐年下降趋势（χ2＝26.725，P＜0.001），男童新生儿死亡率（3.29‰）高于女童（2.49‰）。2009-2014年南京市新生儿死亡疾病前5位主要病种依次为早产低出生体重，出生窒息，其他先天异常，其他新生儿病，先天性心脏病，其中早产低出生体重（χ2＝44.873，P＜0.001）、出生窒息（χ2＝20.610，P＜0.01）的死因别死亡率呈下降趋势。6年间南京市区县级新生儿死亡评审共260例，市级复评审72例，诊断不相符的占31.94%。结论 减少早期新生儿死亡，加强新生儿主要死因的预防与控制，进一步完善新生儿死亡评审工作，以最大限度降低新生儿死亡率。
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| 关 键 词： | 关键词:新生儿死亡 死因顺位 死亡评审 |
Death analysis of newborns in Nanjing city from 2009 to 2014 |
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| LIU Jing,QU Hong-ming.Death analysis of newborns in Nanjing city from 2009 to 2014[J].Modern Preventive Medicine,2015,0(22):4081-4083. |
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| Authors: | LIU Jing QU Hong-ming |
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| Affiliation: | Nanjing maternal and Child Health Hospital affiliated to Nanjing Medical University, Nanjing, Jiangsu 210004, China |
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| Abstract: | Abstract: Objective This work was to investigate the neonatal death in Nanjing during 2009-2014, so as to provide a scientific basis for further reduction of infant mortality. Methods The neonatal death data of children under 5 years old from the monitoring network in Nanjing city during 2009-2014 were collected and reviewed. Results The neonatal mortality of 2009-2014 was 2.92‰ in Nanjing city, where early neonatal mortality rate was 2.12‰, accounting for 72.71% of all neonatal deaths. The neonatal mortality rate decreased year by year (χ2=26.725, P<0.001). The mortality rate of newborn boys (3.29‰) was higher than that of girls (2.49‰). Five major diseases causing Neonatal death in Nanjing city during 2009-2014 were preterm low birth weight, birth asphyxia, other congenital anomalies, other neonatal diseases, and congenital heart disease. Among the five diseases, the mortality caused by preterm low birth weight (χ2= 44.873, P<0.001) and birth asphyxia (χ2=20.610, P<0.01) was on the decline. During the 6 years in Nanjing city, a total of 260 cases of neonatal death were reviewed, 72 cases of the total gained municipal accreditation. 31.94% of the cases were not consistent with the diagnosis. Conclusion The prevention and control of the main causes of newborn death should be strengthened to reduce the early neonatal death, and. The neonatal death review work should be further reviewed in order to minimize neonatal mortality. |
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| Keywords: | Keywords: Neonatal death Death cause sequence Death review |
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