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| 2014~2018年合肥市城区活产儿早产发生状况分析 |
| Analysis on preterm birth of live births in urban area of Hefei from 2014 to 2018 |
| 投稿时间：2021-11-30 |
| DOI：10.3969/j.issn.1000-0399.2022.06.024 |
| 中文关键词: 活产儿 早产 发生率 预防 |
| 英文关键词: Live births Preterm birth Incidence Prevention |
| 基金项目:中国疾病预防控制中心妇幼保健中心母婴营养与健康研究项目(项目编号:2020FYH002) |
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| 中文摘要: |
| 目的 分析合肥市城区活产儿早产发生状况,为制定预防早产措施提供参考依据。方法 利用合肥市妇幼卫生信息系统,共纳入2014~2018年间合肥市城区(包河区、蜀山区、庐阳区和瑶海区)活产(146 889例)早产儿9 077例。收集所有早产儿出生信息及其母亲相关信息,描述不同区域、季节、性别、母亲年龄的活产儿早产发生状况。结果 2014~2018年合肥市城区活产儿早产总体发生率为6.18%(95% CI:6.10%~6.30%),各年度活产儿早产发生率分别为6.08%、6.35%、6.32%、6.04%和6.14%。冬季活产儿早产发生率为6.50%,高于夏季(χ2=4.393,P=0.036)和秋季(χ2=15.520,P<0.001);庐阳区活产儿早产发生率高于包河区(χ2=22.210,P<0.001)、蜀山区(χ2=11.874,P=0.001)和瑶海区(χ2=9.295,P=0.002);男婴早产发生率高于女婴(χ2=47.943,P<0.001);超高龄组母亲的活产儿早产发生率为11.35%,高于低龄组(χ2=37.643,P<0.001)、适龄组(χ2=224.022,P<0.001)和高龄组(χ2=38.677,P<0.001);母亲年龄越大,早产发生率越高(χ2趋势=419.532,P<0.001)。结论 合肥市城区活产儿早产发生率在6.0%左右,男婴、出生在冬季、母亲年龄大的活产儿发生早产风险较高。 |
| 英文摘要: |
| Objective To analyze preterm birth of live births in Hefei and to provide reference for the prevention of preterm birth. Methods Data were collected from the Maternal and Child Health Information System of Hefei. A total of 14 6889 live births were collected from 2014 to 2018,among which there were 9 077 premature infants.The birth information of all premature infants and their mothers were collected for descriptive analysis. The preterm birth of live births in different districts, seasons, gender and maternal age was described.Results From 2014 to 2018, the overall incidence of preterm birth was 6.18%(95%CI:6.10%~6.30%).The incidence of each years was 6.08%,6.35%,6.32%,6.04% and 6.14%, respectively.The rate of preterm birth was 6.50% in winter,higher than that in summer(χ2=4.393,P=0.036) and autumn(χ2=15.520,P<0.001).The preterm birth rate in Luyang district was higher than that in Baohe district(χ2=22.210,P<0.001), Shushan district(χ2=11.874,P=0.001) and Yaohai district(χ2=9.295,P=0.002). The rate of preterm birth in boys was higher than that in girls(χ2=47.943,P<0.001).The rate of preterm birth among mothers whose age wasmore than or equal to 40 years was 11.35%, higher than that whose age was less than or equal to 20 years (χ2=37.643,P<0.001),whose age was between 21 and 34 years(χ2=224.022,P<0.001)and whose age was between 35 to 39 years (χ2=38.677,P<0.001); the rate of preterm birth was significantly higher with mothers’ age (the trend χ2=419.532,P<0.001). Conclusions The incidence of preterm birth among urban residents in Hefei remains at about 6.0%, and the risk of preterm birth for male babies, live births born in winter and live births with older mothers is higher. |
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