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目的 了解苏州市1993～1999年5岁以下儿童死亡率(U5MR)动态变化趋势及主要死亡原因情况。方法 采用回顾性研究的方法,对苏州市7年来5岁以下儿童死亡监测资料进行分析。结果 1993年死亡率为18.53‰(122/6 585),1999年为10.85 ‰(69/6 358),死亡率呈下降趋势;肺炎、出生窒息的死因顺位逐年下降,早产低出生体重、先天性心脏病、其它先天异常、溺水的死因顺位逐年上升。结论 今后的儿童保健工作,在不放松对感染性疾病控制的同时,要把儿童生存问题的重点转移到降低早产低出生体重、先天畸形和意外伤害的预防和控制上来。
Objective To understand the dynamic change trend and the main causes of death of children under 5 years of age from 1993 to 1999 in Suzhou City. Methods A retrospective study was conducted to analyze the data of death monitoring of children under 5 years of age in Suzhou in the past seven years. Results The mortality rate was 18.53 ‰ (122/6 585) in 1993 and 10.85 ‰ (69/6 358) in 1999. The mortality rate showed a downward trend. The cause of death due to pneumonia and birth asphyxia decreased year by year, the birth weight, birth weight, Sexual heart disease, other congenital anomalies, drowning cause of death increased year by year. CONCLUSIONS In the future, child health care work should not shift its focus on controlling infectious diseases but should shift the focus of child survival issues on the prevention and control of preterm low birth weight, congenital malformations and accidental injuries.