Studenikin M Ia, Leparskiĭ E A, Makel'skaia N P
Vestn Akad Med Nauk SSSR. 1990(7):6-9.
Causes and risk factors of infant mortality were analysed in 10 republics of the USSR and in Moscow. Common and local risk factors of infant mortality were delineated, which include medico-biological++, socio-hygienic++, and medico-organizational++ factors. The differences are shown both between the causes and risk factors and between the causal, age--related, hi and nosological patterns of infant mortality. Data on preterm infant morbidity and mortality are presented, and recommendations on its reduction for regions with its low, median, and high levels are given. Groups of preventive fatal outcomes form the main reserve for reduction of infant mortality; in different regions these groups make up from 40 to 50%. Solving the medical socioeconomic tasks is essential for successful reduction of infant mortality.
对苏联10个加盟共和国及莫斯科市的婴儿死亡率原因和风险因素进行了分析。确定了婴儿死亡率的常见和局部风险因素,其中包括医学 - 生物学++、社会卫生++和医学组织++因素。展示了婴儿死亡率在病因和风险因素之间以及因果、年龄相关、发病率和疾病分类模式之间的差异。给出了早产儿发病和死亡的数据,并针对低、中、高发病率地区降低早产儿发病率提出了建议。预防性致命结局组构成了降低婴儿死亡率的主要储备;在不同地区,这些组占比40%至50%。解决医疗社会经济任务对于成功降低婴儿死亡率至关重要。