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【目的】 了解湖南省婴儿死亡原因及危险因素 ,制定有效干预措施 ,降低婴儿死亡率。 【方法】 调查 13个县 2 6个乡 2 0 0 1年所有死亡的婴儿 ,针对前五位死亡原因进行 1∶1病例对照分析研究 ,用EPI5、SPSS软件完成数据录入和Logistic统计分析。 【结果】 婴儿死亡 60 7例 ,死亡率 3 8.8‰ ,前五位死因依次为 :肺炎、出生窒息、先天异常、早产和意外死亡 ,对照分析 2 18对 43 6例 ,5 9个因素有 2 1个差异有显著性 ,其中 8个因素进入多因素Lo gistic回归方程。 【结论】 湖南省婴儿死亡率处于较高水平 ,主要死因为感染性疾病和新生儿疾病及意外 ;婴儿死亡受社会、家庭、卫生保健服务多种因素影响 ,因此 ,发展经济 ,加强孕期保健 ,提高卫生人员医疗技术水平及医疗保健服务的利用等是降低婴儿死亡的有效措施。
【Objective】 To understand the causes and risk factors of infant death in Hunan Province and to develop effective interventions to reduce the infant mortality rate. 【Method】 All infants who died in 2001 in 26 counties and 26 townships were surveyed. The first five cases of death were analyzed by 1: 1 case-control analysis. Data entry and Logistic statistical analysis were done with EPI5 and SPSS software. 【Results】 There were 607 infant deaths with a mortality rate of 3 8.8 ‰. The top five death causes were as follows: pneumonia, birth asphyxia, congenital anomalies, premature birth and accidental death. There were 2 18 pairs of 43 cases and 59 cases of 2 One difference was significant, of which eight factors entered the multi-factor Lo gistic regression equation. [Conclusion] The infant mortality rate in Hunan Province is at a high level. The main causes of death are infectious diseases and neonatal diseases and accidents. The infant deaths are affected by many factors such as social, family and health care services. Therefore, economic development, Improving the level of medical skills of health personnel and the utilization of health care services are effective measures to reduce infant mortality.