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【目的】了解虹口区5岁以下儿童死亡原因、死亡年龄的变化,探讨5岁以下儿童死亡的相关因素,寻求相应的干预措施。【方法】对1998~2008年上海市虹口区5岁以下儿童死亡的监测资料进行分析。【结果】5岁以下儿童的死亡率逐年下降,新生儿死亡构成比上升;死因结构发生了改变:肺炎、腹泻等感染性疾病、新生儿窒息逐渐减少,先天性畸形、早产低出生体重儿是近年来5岁以下儿童死亡的主要原因。【结论】加强围生期保健、加大预防意外伤害宣传、加强高危儿童和外来孕产妇的管理是降低5岁以下儿童死亡率的关键。
【Objective】 To understand the causes of death and the age of death in children under 5 years of age in Hongkou District, explore the related factors of death of children under 5 years of age and seek corresponding intervention measures. 【Methods】 The data of the death of children under 5 years old in Hongkou District of Shanghai from 1998 to 2008 were analyzed. 【Results】 The mortality rate of children under 5 years of age decreased year by year, the proportion of neonatal death increased; the cause of death structure changed: pneumonia, diarrhea and other infectious diseases, neonatal asphyxia gradually reduced, congenital malformations, premature birth, low birth weight children The main reason for the death of children under 5 in recent years. [Conclusion] Strengthening the perinatal care, increasing prevention of accidental injuries, and strengthening the management of high-risk children and migrant women are the keys to reducing the mortality rate of children under 5 years of age.