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１９９０～１９９４年对湖北省城乡５岁以下儿童生存状况，急性呼吸道感染（ＡＮＩ）对儿童生存的影响，ＡＲＩ病例管理的科学性、适用性、可接受性、应用性以及效果评估方法等进行了研究。全省婴儿死亡率为３９．１１‰，５岁以下儿童死亡率为５２．００‰，婴儿肺炎死亡专率为１０８１．００／１０５，占婴儿死亡率构成的２４．８０％。ＡＲＩ症状与Ｘ线诊断相关分析表明，呼吸增快与听诊罗音具有相同敏感性（ｔ＝０．７７，Ｐ＞０．０５），可作为轻度肺炎诊断依据，胸凹陷特异性高（９０．１９％），可作为重度肺炎诊断依据。２９县（市）５年推广应用ＡＲＩ病例管理后，婴儿死亡率，５岁以下儿童死亡率，婴儿肺炎死亡专率、肺炎在婴儿死亡率中的构成比依次分别降至１８．３２‰，３０．２３‰，５９５．５１／１０５，２０．６３％，效果显著。
From 1990 to 1994, the survival status of children under 5 years of age in urban and rural areas of Hubei Province, the impact of acute respiratory infection (ANI) on children’s survival and the scientific, applicability, acceptability, applicability and effect evaluation methods of ARI case management were studied the study. The infant mortality rate in the province was 39.11 ‰, that of children under 5 years old was 52.00 ‰, that of infant pneumonia was 1081.00 / 105, accounting for 24.80% of the infant mortality rate. Correlation analysis of ARI symptoms and X-ray diagnosis showed that the increased respiratory rate had the same sensitivity as the auscultatory rales (t = 0.77, P> 0.05), which could be used as the basis for the diagnosis of mild pneumonia and the specificity of chest depression .19%), can be used as a basis for diagnosis of severe pneumonia. After 5 years of county (city) popularization and application of ARI case management, the infant mortality rate, child mortality rate under 5 years old, infant pneumonia mortality rate and pneumonia in infant mortality rate decreased to 18.32 ‰, 30 .23 ‰, 595.51 / 105,20.63%, the effect is significant.