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[目的]了解深圳市2003~2007年5岁以下儿童死亡率的变化趋势,以及死因顺位等监测情况。[方法]收集2003~2007年深圳市5岁以下儿童死亡监测资料,计算不同户籍类型婴儿、5岁以下儿童死亡率,及主要病种死因顺位。[结果]2007年深圳市婴儿和5岁以下儿童死亡率分别为4.55‰和5.55‰,较2003年(7.83‰和10.04‰)分别下降了41.89%和44.72%。非户籍人口的婴儿死亡率及5岁以下儿童死亡率高于常住人口的死亡率。5岁以下儿童主要病种死因顺位为早产和低出生体重、出生窒息、先天性心脏病、肺炎、意外窒息.意外死亡是1~4岁儿童的第1位死因。[结论]深圳市5岁以下儿童死亡率呈明显的下降趋势,提高产前诊断技术,加强围生期保健,提高安全意识,加强流动人口的卫生保健服务是进一步降低5岁以下儿童死亡率的关键。
[Objective] To understand the change trend of mortality rate of children under 5 years old in Shenzhen from 2003 to 2007, and the monitoring of the cause of death. [Methods] The data of death monitoring of children under 5 years of age in Shenzhen from 2003 to 2007 were collected to calculate the mortality rate of infants under 5 years of age and the death causes of major diseases. [Results] The infant mortality rates of infants and children under 5 years old in Shenzhen in 2007 were 4.55 ‰ and 5.55 ‰, respectively, down 41.89% and 44.72% respectively from 2003 (7.83 ‰ and 10.04 ‰). Infant mortality rates for non-registered population and for children under 5 are higher than those for resident population. The leading cause of death among children under 5 years of age was premature birth and low birth weight, birth asphyxia, congenital heart disease, pneumonia and accidental asphyxia. Accidental death was the first cause of death in children aged 1 to 4 years. [Conclusion] The mortality rate of children under 5 years of age in Shenzhen shows a declining trend. To improve prenatal diagnosis techniques, strengthen perinatal health care, raise safety awareness and strengthen the health care services of floating population is to further reduce the mortality rate of children under 5 years of age The essential.