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目的了解常州市武进区5岁以下儿童死亡情况。方法对2010—2012年5岁以下儿童死亡资料进行整理和分析。结果 2010—2012年武进区5岁以下儿童平均死亡率为4.30‰,新生儿死亡率为2.12‰,婴儿死亡率为2.79‰,1~4岁儿童死亡率为1.51‰。常住户籍儿童死亡率为5.97‰,流动户籍儿童为3.22‰,差异有统计学意义(χ2=17.25,P<0.01)。主要死因依次为意外死亡、疾病、早产和低出生体重、先天异常。结论控制婴儿、新生儿死亡率是控制5岁以下儿童死亡率的关键;加强对儿童的监护是避免溺水等意外伤害发生的重要措施;还须进一步加强对流动人口的妇幼保健管理。
Objective To understand the death of children under 5 in Wujin District, Changzhou City. Methods The death data of children under 5 years of age from 2010 to 2012 were collected and analyzed. Results The average death rate of children under 5 in Wujin district from 2010 to 2012 was 4.30 ‰, the neonatal mortality rate was 2.12 ‰, the infant mortality rate was 2.79 ‰, and the mortality rate among children aged 1-4 was 1.51 ‰. The mortality rate of permanent residents was 5.97 ‰ and that of migrant children was 3.22 ‰, with a significant difference (χ2 = 17.25, P <0.01). The main causes of death were accidental death, disease, premature birth and low birth weight, congenital anomalies. Conclusion Control of infant and neonatal mortality is the key to controlling the mortality rate of children under 5 years of age. Strengthening guardianship of children is an important measure to prevent unintentional injuries such as drowning. MCH management must also be further strengthened.