2003—2018年兰州市孕产妇死亡率变化及保健状况主成分分析

doi:10.3969/j.issn.1006-3110.2021.08.004

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摘要目的分析兰州市2003—2018年孕产妇死亡率变化和孕产妇保健状况,为兰州市妇女保健工作提供依据。方法采用动态数列和Mann-Kendall趋势检验分析兰州市2003—2018年孕产妇死亡率变化趋势和孕产妇保健状况,运用主成分分析综合评价2003—2018年孕产妇保健状况。结果兰州市2003—2018年孕产妇死亡率总体呈下降趋势,平均增长速度为-3.46%,但趋势变化无统计学意义(Z=-0.855,P=0.392),且期间波动明显;2003—2018年兰州市孕产妇产检率、早检率、产后访视率、系统管理率、住院分娩率总体呈上升趋势,平均增长速度分别为0.76%、1.97%、0.61%、2.06%、1.65%;高危孕产妇比重呈下降趋势,年均下降2.86%。主成分分析显示兰州市2003—2008年孕产妇保健水平低于2003—2018年平均水平,2011—2013年产检率、早检率、产后访视率、系统管理率、住院分娩率等孕产妇基本保健服务利用较好,2014—2018年较2011—2013年高危孕产妇比重减少,但基本保健服务利用率降低。结论 2003—2018年兰州市孕产妇保健工作取得了良好进展,但2016—2018年孕产妇死亡率仍高于全国平均水平,仍应继续加强孕产妇保健服务,提高妇女保健服务的利用度。

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	白瑾
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	梁芳
	李芝兰

关键词 ：孕产妇死亡率, 主成分分析, 孕产妇保健

Abstract：Objective To analyze the changes in maternal mortality rate and maternal health care status in Lanzhou City from 2003 to 2018, and to provide a basis for women's health care work in Lanzhou City. Methods The dynamic series and Mann-Kendall trend test were used to analyze the changing trends in maternal mortality and maternal health care status, and the principal component analysis was employed to evaluate the maternal health care status in Lanzhou City from 2003 to 2018. Results The maternal mortality rate in Lanzhou City during 2003-2018 showed a general downward trend, with an average growth rate of -3.46%. No statistically significant difference was found in the trend changes (Z=-0.855, P=0.392); moreover, there was a significant fluctuation during 2003-2018. The prenatal detection rate, early detection rate, postpartum visit rate, system management rate and hospital delivery rate in Lanzhou City from 2003 to 2018 showed an upward trend on the whole, with the average growth rates of 0.76%, 1.97%, 0.61%, 2.06% and 1.65%, respectively. The proportion of high-risk pregnant women showed a downward trend, with an annual average decline rate of 2.86%. The principal component analysis revealed that the level of maternal health care in Lanzhou City during 2003-2008 was lower than the average level during 2003-2018. The indicators of basic maternal health care services such as prenatal detection rate, early detection rate, postpartum visit rate, system management rate and hospital delivery rate from 2011 to 2013 were high. The proportion of high-risk pregnant women and the utilization rate of basic health care services from 2014 to 2018 were both declined as compared with those from 2011 to 2013. Conclusion Much progress had been made in maternal health care in Lanzhou City from 2003 to 2018, but the maternal mortality rates in 2016-2018 were higher than those of the national average level. It is still essential to continuously strengthen maternal health care services and improve their utilization.

Key words： maternity mortality rate principal component analysis maternal health care

收稿日期: 2020-08-17

R173

基金资助:兰州市科技计划项目(2018-3-8)

通讯作者: 李芝兰,E-mail:lizhl@lzu.edu.cn。

作者简介: 白瑾(1995-),女,硕士在读,研究方向:儿少卫生与妇幼保健学。

引用本文:

白瑾, 杨言军, 白清丽, 张军, 郑蓉, 梁芳, 李芝兰. 2003—2018年兰州市孕产妇死亡率变化及保健状况主成分分析[J]. 实用预防医学, 2021, 28(8): 911-914. BAI Jin, YANG Yan-jun, BAI Qing-li, ZHANG Jun, ZHENG Rong, LIANG Fang, LI Zhi-lan. Changes in maternal mortality rate and principal component analysis of health care status in Lanzhou City, 2003-2018. , 2021, 28(8): 911-914.

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