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目的对淇滨区5岁以下儿童死亡原因及相关因素进行分析,为制定降低淇滨区5岁以下儿童病死率干预措施提供理论依据。方法对淇滨区2000-2009年5岁以下儿童死亡报告卡进行整理分析。结果淇滨区5岁以下儿童病死率明显下降,从2000年24.76‰下降至2009年14.16‰。死因顺位变化明显,2000-2003年出生窒息占第一位,2004-2009年早产或低体重、先心及其他先天异常、意外死亡上升到1、2、3位。结论降低5岁以下儿童病死率的关键在于降低新生儿病死率,开展育龄妇女优生优育健康教育,加强孕前及孕早期保健,做好产前检查及产前筛查,提高新生儿科医疗质量,加强孕期和儿童保健,防止意外事故发生。
Objective To analyze the causes and related factors of death in children under 5 years of age in Qibin district and provide theoretical basis for making interventions to reduce the mortality of children under 5 years of age in Qibin district. Methods The death report card of children under 5 years old in Qibin district from 2000 to 2009 was analyzed. Results The mortality rate of children under 5 years of age in QiBan district decreased significantly from 24.76 ‰ in 2000 to 14.16 ‰ in 2009. The rank of cause of death obviously changed. Asphyxiation was the highest in 2000-2003. Premature birth or low birth weight, congenital heart disease and other congenital anomalies in 2004-2009 caused unexpected deaths to rise to 1, 2 and 3 positions. Conclusions The key to reducing the mortality of children under 5 years of age is to reduce the neonatal mortality rate, carry out eugenics and health education for women of childbearing age, strengthen the prenatal and early pregnancy health care, do prenatal screening and prenatal screening, and improve the quality of neonatology and medical care Pregnancy and child health, to prevent accidents.