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目的:为了不断提高海珠区儿童健康水平,降低5岁以下儿童死亡率。方法:对2001～2010年5岁以下户籍儿童死亡相关因素进行分析。结果:10年间5岁以下儿童死亡率在下降;婴儿死亡占5岁以下儿童死亡的70%,其中新生儿死亡占5岁以下儿童死亡的一半以上;先天性心脏病、出生窒息、其他先天异常和早产低出生体重是5岁以下儿童死亡的主要死因;死前92.89%儿童得到治疗,而未治疗的主要原因是意外死亡来不及送医院。结论:加强孕期监测管理,开展出生缺陷干预工程,提高产儿科质量,普及群众知识等是降低5岁以下儿童死亡率的重要措施。
Objective: In order to continuously improve the health of children in Haizhu District and reduce the mortality rate of children under 5 years of age. Methods: The related factors of death of children under 5 years of age from 2001 to 2010 were analyzed. Results: Mortality rates of children under 5 years of age declined over the 10-year period; infant deaths accounted for 70% of deaths among children under 5 years, of which neonatal deaths accounted for more than half the deaths of children under 5 years of age; congenital heart disease, birth asphyxia and other congenital anomalies And low birth weight preterm birth were the leading causes of death among children under 5 years of age; 92.89% of children were treated before they died, and the main cause of untreated death was accidental death to the hospital. Conclusion: To strengthen the monitoring and management of pregnancy, carry out birth defect intervention project, improve the quality of pediatrics and popularize the public knowledge are important measures to reduce the mortality rate of children under 5 years of age.