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目的:分析无锡市5岁以下儿童死亡的主要原因和变化趋势,为制定有效干预措施提供科学依据。方法:对2009~2013年5岁以下儿童的死亡监测资料进行分析,计算死亡率。结果:5岁以下儿童年均死亡率为4.83‰,呈逐年下降趋势,男性死亡率明显高于女性;死因类别前3位为起源于围生期的某些情况、先天畸形变性和染色体异常、损伤和中毒,死亡原因前3位为先天性心脏病、早产儿和未成熟儿、溺水。结论:加强围产期保健管理和出生缺陷、意外伤害的三级预防,是降低5岁以下儿童死亡率的关键。
OBJECTIVE: To analyze the main causes and trends of death among children under 5 years old in Wuxi City, and provide a scientific basis for formulating effective interventions. Methods: The mortality monitoring data of children under 5 years old from 2009 to 2013 were analyzed to calculate the mortality rate. Results: The average death rate of children under 5 years old was 4.83 ‰, showing a declining trend year by year. The death rate of males was significantly higher than that of females. The top three causes of death category were some cases of perinatal, congenital deformity and chromosomal abnormalities, Injury and poisoning, the first three causes of death were congenital heart disease, premature children and immature children, drowning. CONCLUSIONS: Strengthening tertiary care for perinatal care, birth defects, and accidental injuries is the key to reducing mortality among children under 5 years of age.