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目的探讨郴州市2010-2014年5岁以下住院儿童死亡原因及流行病学特点。方法收集郴州市2010-2014年5岁以下在郴州市住院儿童死亡的临床资料,对其死亡原因进行统计学分析,了解5岁以下住院儿童死亡率变化情况、死亡原因及特点。结果郴州市2010-2014年5岁以下住院儿童死亡率分别为27.12‰(200/7 373)、21.50‰(169/7 859)、19.41‰(177/9 119)、12.46‰(132/10 591)、0.94‰(109/11 598),呈逐年下降趋势。死亡的主要病因为肺炎及其他呼吸道感染(18.17%)、早产(16.14%)、呼吸衰竭及呼吸窘迫(8.89%)、先天性疾病(8.51%)及窒息(2.80%)。结论 2010-2014年5岁以下住院儿童死亡率呈逐年下降趋势,呼吸系统相关疾病仍然是郴州市儿童死亡的主要原因。
Objective To investigate the causes of death and epidemiological characteristics of hospitalized children under 5 years of age in Chenzhou from 2010 to 2014. Methods The clinical data of deaths of children under 5 years of age in Chenzhou city from 2010 to 2014 in Chenzhou City were collected. The causes of death were statistically analyzed to understand the changes of death rate, causes of death and characteristics of children under 5 years old hospitalized. Results The mortality rate of hospitalized children under 5 years of age from 2010 to 2014 in Chenzhou City was 27.12 ‰ (200/7 373), 21.50 ‰ (169/7 859), 19.41 ‰ (177/9 119), 12.46 ‰ (132/10 591) ), 0.94 ‰ (109/11 598), showing a declining trend year by year. The main causes of death were pneumonia and other respiratory infections (18.17%), premature birth (16.14%), respiratory failure and respiratory distress (8.89%), congenital diseases (8.51%) and asphyxia (2.80%). Conclusions The mortality rate of in-hospital children under 5 years of age from 2010 to 2014 shows a declining trend year by year. Respiratory system-related diseases are still the main cause of death of children in Chenzhou City.