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目的:分析郑州市2003~2010年5岁以下先天异常死亡儿童未就医的变化趋势,提升政府决策能力,促进干预政策转化。方法:利用郑州市各级5岁以下儿童死亡监测网中先天异常儿童死亡报告卡进行汇总、整理、分析、研究。结果:郑州市5岁以下先天异常死亡儿童中66.05%放弃治疗,39.05%未治疗儿童因出生缺陷、经济困难、病情严重无治愈希望而死亡,农村明显高于城市。结论:推动中国出生缺陷综合防治体系建设,进一步降低出生缺陷发生率、5岁以下儿童死亡率。
OBJECTIVE: To analyze the trend of unaccompanied medical treatment of congenital abnormal death in children under 5 years of age from 2003 to 2010 in Zhengzhou, enhance the government decision-making ability and promote the conversion of intervention policies. Methods: To summarize, collate, analyze and study the death report card of congenital anomalies in children under 5 years old in Zhengzhou City. Results: 66.05% of children with congenital abnormal death under 5 years old in Zhengzhou gave up their treatment, 39.05% of untreated children died of birth defects, economic difficulties and serious illness without hope of recovery. The rural areas were obviously higher than those in cities. Conclusions: Promoting the establishment of a comprehensive prevention and control system for birth defects in China will further reduce the incidence of birth defects and the death rate of children under 5 years of age.