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目的掌握我市5岁以下儿童死亡率及死因变化趋势,为制定干预措施提供依据。方法采用回顾性研究的方法,对2002年-2007年我市4888例5岁以下儿童死亡监测报表及儿童死亡报告卡进行统计分析。结果5岁以下儿童死亡率呈逐年下降趋势,主要死因为早产、出生窒息、先天性心脏病、肺炎、意外事故。结论要进一步降低5岁以下儿童死亡率,关键要积极推广新生儿窒息复苏技术,加强孕产期保健,避免先天致畸因素,加强安全教育,减少意外死亡,大力提高医疗服务可及性和医疗服务质量。
Objective To grasp the trend of death rate and cause of death of children under 5 years old in our city and provide basis for making interventions. Methods A retrospective study was conducted on the statistical analysis of the death report and death report card of 4888 children under 5 in our city from 2002 to 2007. Results The mortality rate of children under 5 showed a declining trend year by year. The main causes of death were premature birth, birth asphyxia, congenital heart disease, pneumonia and accidents. Conclusion To further reduce the mortality rate of children under 5 years of age, the key is to actively promote neonatal asphyxia recovery technology, strengthen maternal health, avoid congenital teratogenic factors, enhance safety education, reduce accidental deaths, greatly improve access to medical services and medical treatment service quality.