关键词: 新生儿窒息, 发生率, 死亡率, 伤残率, 疾病负担, 伤残调整寿命年

Abstract: Objective Through analysing the disability adjusted life years (DALY) of birth asphyxia to provide rational planning of health resources distribution in China. Methods Literatures in 2010 were searched and reviewed to analysis the mortality, mobility and disability rate of birth asphyxia.The Delphi method was used to obtain data on the disable weight of each complication.Based on the data of literature review and Delphi research, the DALY of birth asphyxia was calculated. Results The incidence of birth asphyxia ranged from 1.14% to 11.7% in different provinces in China.The mortality rate of birth asphyxia among children under 5 years old was 221.3/10⁵.The intelligence disability rate among children aged 0~17 was 0.9% in 2010, with birth asphyxia being the third cause.Disability caused by birth asphyxia accounted for 6.34% of hearing disability among children aged 0~6.The disability weight of birth asphyxia was 0.390.Based on data of the sixth nationwide population census, DALYs caused by birth asphyxia of among children under 5 was 8 241 093 person year in the whole country, which was 109.1 person year per 1000 population.If birth asphyxia incidence and mortality decrease by 10% at the same time, there will be a 9.73% decrease in the DALYs. Conclusions Neonatal asphyxia is one of the major causes of child death in China.The disease burden caused by birth asphyxia is huge.Generalize neonatal resuscitation skills can decrease the incidence and mortality of birth asphyxia, which has significant social benefit.

Key words: neonatal asphyxia, incidence, mortality, disability, disease burden, disability adjusted life years