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目的了解新疆福海县2005~2009年5岁以下儿童死亡情况。方法详细分析2005~2009年全县5岁以下儿童死亡报告卡,儿童死亡讨论记录,查阅死亡儿童住院病历,询问家长诊治经过。结果全县2005~2009年儿童死亡率居高不下与基层儿童保健服务不到位,孕产期保健服务能力、质量有限及基层妇幼人员儿童保健知识匮乏有关。结论应加强基层儿童保健工作,加强围产儿保健,加强孕产前后保健与健康教育,积极防治早产,加强产科质量建设,强化基层妇幼人员专业知识及新生儿复苏技能培训。
Objective To understand the death of children under 5 years old in Fuhai County of Xinjiang from 2005 to 2009. Methods A detailed analysis of the death report cards of children under 5 years old from 2005 to 2009, the record of child deaths, the inpatient records of inpatient deaths and the consultation of parents were conducted. Results The county’s high child mortality rate from 2005 to 2009 was not related to grassroots child health services, maternal health care services, limited quality and lack of knowledge on child health care among grass-roots women and children. Conclusion Primary health care for children should be strengthened, perinatal care should be strengthened, pre-and post-natal care and health education should be strengthened, prevention and treatment of premature birth should be strengthened, quality of obstetrics should be strengthened, and professional knowledge of grass-roots women and children and skills training for neonatal resuscitation should be strengthened.