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目的探讨新生儿窒息死亡的变化规律。方法借鉴研究经济现象的方法,用发展速度和发展水平指标描述如皋市1991—2010年新生儿窒息死亡专率,运用动态数列分析技术,建立数学模型,分析动态变化。结果二十年新生儿窒息死亡专率平均水平为153.21/10万,在婴儿死亡中新生儿窒息为第4位死因,是新生儿死亡的第1位死因,占新生儿死亡的21.44%。在新生儿窒息死亡中,0天死亡占51.25%,7天内死亡占92.80%,出生于一级医院占78.95%,死于医院占85.87%。前10年新生儿窒息死亡专率呈指数曲线负增长,平均下降10.8/10万,后十年呈六次多项式曲线,波动起伏,平均上升0.07/10万。结论农村一级医院是新生儿窒息防治的重点环节,采取积极有效措施防治新生儿窒息将有助于控制并进一步降低新生儿窒息死亡率。
Objective To explore the changes of neonatal asphyxia death. Methods Using the method of studying economic phenomena, this paper described the rate of asphyxiation and death rate of newborns in Rugao from 1991 to 2010 with the index of development speed and level of development. Using dynamic sequence analysis technique, the mathematical model was established to analyze the dynamic changes. Results The average rate of neonatal asphyxia death in 20 years was 153.21 / 100 000. Neonatal asphyxia was the fourth cause of death in infant death, accounting for 21.44% of all neonatal deaths. Among neonatal asphyxial deaths, 51.25% died on day 0, 92.80% died on day 7, 78.95% were born in primary hospital, and 85.87% died in hospital. The first 10 years of neonatal asphyxia death rate showed an exponential curve of negative growth, with an average decline of 10.8 / 100000, after ten years was six times the polynomial curve, ups and downs, an average increase of 0.07 / 100,000. Conclusion Rural first-class hospital is the key point of neonatal asphyxia prevention and treatment. Taking active and effective measures to prevent neonatal asphyxia will help to control and further reduce neonatal asphyxia mortality.