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在早产子类型和围产生存时间的时间模式,2000-2023年:基于人口的,重复的横截面时间序列

Ka Wang Cheung^1,2, Tiffany Sin-Tung Au¹, Tat On Chan¹

¹Department of Obstetrics and Gynaecology, Queen Mary Hospital, The University of Hong Kong, Hong Kong, Hong Kong SAR, China.

BJOG : an international journal of obstetrics and gynaecology

|January 27, 2026

概括

过早出生 (PTB) 率上升,但香港的围产期生存率有所改善. 分类PTB揭示了趋势:没有PPROM的自发PTB下降,而带有PPROM和阳性PTB的PTB增加.

科学领域:

产科和妇科产科和妇科
围产期流行病学围产期流行病学
公共卫生公共卫生

背景情况:

在全球范围内,早产 (PTB) 仍然是一个重大问题,影响围产期生存率.
了解PTB的趋势和原因对于开发有效的干预措施至关重要.
香港独特的医疗保健系统为研究PTB模式提供了机会.

研究的目的:

评估2000年至2023年香港早产率和趋势.
评估与PTB相关的围产期生存率.
通过分类自发性PTB (sPTB) 和阳性性PTB (iPTB) 来分析PTB趋势.

主要方法:

进行了一项基于人口的,重复的横截面时间序列研究.
数据涵盖了香港所有公立产科医院 (2000-2023) 的单独和双胞胎分娩.
分析包括sPTB与阳性PTB (iPTB),以及进一步分类为没有PPROM的sPTB,带有PPROM的PTB和iPTB.

主要成果:

单胎和双胎怀孕的整体PTB比率增加.
分类显示了没有PPROM的sPTB下降趋势,但PPROM和iPTB的PTB显著增加.
带有PPROM和iPTB的PTB成为PTB的主要原因;高血压疾病占主导地位. 新生儿死亡率在iPTB和双胞胎PTB的总体下降.

结论:

香港的围产期生存率有所改善,尽管PTB的发病率不断上升.
解释PTB趋势需要考虑围产期健康指标.
分类PTB对于准确反映和解释人口水平趋势至关重要.

关键词:

出生时体重较低的婴儿.死亡率死亡率时间过早的早产.过早产生的劳动.一个死产的死产.

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