一项区域性队列研究检查了20年来新生儿早期死亡的原因和趋势,在日本宫崎市
Shoko Ohtomi1,2, Yohei Maki1, Emi Kino1,2
1Department of Obstetrics and Gynecology, Miyazaki Medical Association Hospital, Miyazaki, Japan.
The journal of obstetrics and gynaecology research
|October 1, 2025
概括
在日本,先天性形和产内事件是新生儿早期死亡的主要原因. 20年来,这些趋势保持不变,表明需要有针对性的预防策略来减少婴儿死亡率.
科学领域:
- 新生儿科学 新生儿科学
- 公共卫生 公共卫生
- 围产期流行病学 围产期流行病学
背景情况:
- 新生儿早期死亡仍然是一个重大的全球健康问题.
- 了解区域趋势对于制定有效的公共卫生干预措施至关重要.
研究的目的:
- 为了分析日本宫崎县20年新生儿早期死亡的原因和趋势.
- 确定最常见的早期新生儿死亡原因,以告知预防策略.
主要方法:
- 一项区域性队列研究,利用2003年至2022年新生儿死亡数据库.
- 使用国际疾病分类 (ICD-10) 进行了死亡原因的分类.
- 分析早期新生儿死亡发生率的趋势和具体原因.
主要成果:
- 在186,583名活产婴儿中,共记录了124例新生儿早产死亡事件 (每1000例出生0.66例).
- 主要原因是先天性形 (48.6%),产后事件 (12.4%),感染 (9.5%) 和低出生体重/早产 (9.5%).
- 三胞胎瘤18是最常见的特定原因 (12.4%),并且在20年内没有观察到特定原因趋势的显著变化.
结论:
- 在日本这个地区,先天性形和与产内事件相关的并发症是新生儿早期死亡的主要原因.
- 过去二十年来趋势没有改变,这凸显了需要采取积极主动,有针对性的预防措施.
- 未来的战略应侧重于解决最常见的原因,以有效地减少新生儿早期死亡率.
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