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目的:掌握衢州市“十一五”期间5岁以下儿童死亡情况,为在“十二五”期间制定相应的卫生管理政策、提供适宜的医疗保健措施提供依据。方法:对2006～2010年衢州市5岁以下儿童死亡监测资料进行统计分析。结果:2006～2010年衢州市婴儿死亡率、新生儿死亡率及5岁以下儿童死亡率呈下降趋势,平均死亡率分别为7.10‰、4.48‰、9.60‰。主要死因顺位依次为早产或低出生体重、其他先天异常、先天性心脏病、新生儿窒息、意外窒息、溺水。结论:实施基本公共卫生服务均等化,进一步提高围产保健质量,做好出生缺陷的三级预防工作,减少意外伤害,是控制5岁以下儿童死亡的关键。
OBJECTIVE: To master the death of children under 5 years of age in Quzhou City during the 11th Five-Year Plan and provide the basis for formulating corresponding health management policies and providing suitable health care measures during the 12th Five-Year Plan. Methods: The data of death monitoring of children under 5 years of age in Quzhou from 2006 to 2010 were statistically analyzed. Results: From 2006 to 2010, infant mortality rate, neonatal mortality rate and death rate of children under 5 years showed a decreasing trend in Quzhou City. The average mortality rates were 7.10 ‰, 4.48 ‰ and 9.60 ‰, respectively. The order of the major causes of death was premature or low birth weight, other congenital anomalies, congenital heart disease, neonatal asphyxia, accidental asphyxia and drowning. Conclusion: The key to controlling the death of children under 5 years of age is to implement equalization of basic public health services, to further improve the quality of perinatal care, to make tertiary prevention of birth defects and to reduce accidental injuries.