李金玉+张莹+黄小梅

[摘要] 目的 分析育龄妇女死亡原因，找出有效干预措施，以降低育龄妇女死亡率。 方法 采用回顾性调查方法，每年由基层妇保专干上报调查结果名单，妇幼保健院核实资料的完整性及准确性，并进行统计分析。 结果 2005～2013年本区育龄妇女死亡率为51.10/10万，41～49岁年龄占死亡年龄总数的58.08%，死亡前三位原因分别为恶性肿瘤、意外及神经系统疾病。 结论 育龄妇女随着年龄增长，死亡率逐渐上升，恶性肿瘤成为危害妇女健康的首要原因，育龄妇女应加强保健意识，注重身心健康。

[关键词] 育龄妇女；死亡原因；干预措施

[中图分类号] R173[文献标识码] A[文章编号] 1674-4721（2014）05（c）-0162-03

Death cause analysis of fertile women of Ganjingzi district in Dalian city from 2005 to 2013

LI Jin-yu ZHANG Ying HUANG Xiao-mei

Department of Women′s Health,Maternity and Child Health Hospital of Ganjingzi District in Dalian City,Dalian116091,China

[Abstract] Objective To analyse death cause of fertile women and find the effective intervention measure in order to decrease mortality rate of fertile women. Methods Lists of survey results reported to our institution by professional staff of material and child hygiene in grassroots after checking the integrity and accuracy of data by maternal and child health hospital were retrospectively investigated and analyzed. Results The average mortality rate of fertile women in Ganjingzi district from 2005 to 2013 was 51.10 per 100 000 of which fertile women aged 41 to 49 years old was 58.08%.The top 3 death causes were m alignant tumor,accident and nervous system disease. Conclusion With growth of ages in fertile women,the mortality rate gradually increases.M alignant tumor has become the primary cause harming women′s health.In fertile women′s health care,health care consciousness should be strengthened as well as physical and psychological health.

[Key words] Fertile woman;Death cause;Intervention measure

伴随社会进步及科学发展，女性在家庭及社会承担着越来越大的角色份额，在后代教育、家庭社会的进步与和谐上起巨大作用，因此，关心育龄妇女健康问题尤为重要。为了更好地做好本区育龄妇女的保健工作，对842例育龄妇女死亡原因进行调查分析，以探讨对策及有效干预措施[1-5]。

1 资料与方法

1.1 一般资料

选择调查本辖区2004年10月1日零时～2013年9月30日24时止死亡的育龄妇女842例，年龄15～49岁。

1.2 方法

采用回顾性调查方法，每年10月由基层妇保专干到街道派出所抄录年内死亡育龄妇女名单、死亡时间、死亡地点，进行电话及入户调查，确定死亡原因，汇总材料后上报至妇幼保健院。同时妇幼保健院进行本区内二、三级医院15～49岁死亡育龄妇女名单抄录。最后由保健院将所有材料全面核实完整性及准确性，进行统计分析。……