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[目的]探讨天桥区5岁以下儿童死亡的原因,为制定相关政策提供理论依据。[方法]对2007～2010年(2006年10月1日至2010年9月30日,下同)天桥区管辖的13个办事处5岁以下儿童死亡资料进行分析。[结果]2007～2010年济南市天桥区5岁以下儿童死亡率为0.58%,婴儿死亡率为0.47%,新生儿死亡率为0.35%;各年份5岁以下儿童死亡率分别为0.94%、0.48%、0.52%、0.50%(P<0.01)。死因顺位依次为早产或低出生体重、先天性心脏病、出生窒息、其他新生儿疾病、其他先天异常。[结论]降低5岁以下儿童死亡率的关键是降低婴儿死亡率,加强围产儿、新生儿保健是儿童保健工作的重点。
[Objective] To explore the reasons for the death of children under 5 years old in the overpass area and provide a theoretical basis for formulating relevant policies. [Method] The data of death of children under 5 years of age in 13 offices under the jurisdiction of Tianqiao District from 2007 to 2010 (from October 1, 2006 to September 30, 2010) were analyzed. [Results] The mortality rate of infants below the age of 5 was 0.58%, the infant mortality rate was 0.47%, the neonatal mortality rate was 0.35% in 2007 to 2010 in Tianqiao District, Jinan City. The mortality rates of children under 5 years old in each year were 0.94% and 0.48 %, 0.52%, 0.50% (P <0.01). The order of cause of death was premature or low birth weight, congenital heart disease, birth asphyxia, other neonatal diseases and other congenital abnormalities. [Conclusion] The key to reduce the mortality rate of children under 5 years of age is to reduce the infant mortality rate. Strengthening the perinatal and neonatal health care is the focus of child health care work.