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目的:了解5岁以下儿童死亡率、死亡原因及变化趋势,为今后制定合理的干预措施提供依据。方法:对2004~2012年5岁以下儿童死亡调查表、婴儿死亡报告卡、年报及补漏调查信息资料进行回顾性分析。结果:2004~2012年5岁以下儿童死亡334例,平均死亡率10.84‰,2004年与2012年相比,新生儿、婴儿及5岁以下儿童死亡呈显著的下降趋势,达到了《十堰市2004年~2012年儿童发展规划纲要》要求的目标。死亡原因排前2位的是新生儿出生窒息、早产出生低体重,先天异常有上升趋势,其他死因顺位变化不大。结论:加强围产期保健、新生儿、婴儿监护,提高三级保健网络管理水平和医务人员急救水平,是降低5岁以下儿童死亡率的关键措施。
OBJECTIVE: To understand the mortality rate, cause of death and changing trend of children under 5 years of age, and provide the basis for formulating reasonable intervention measures in the future. Methods: A retrospective analysis was conducted on the questionnaire on the deaths of children under 5 years of age from 2004 to 2012, infant death report card, annual reports and supplementary information. Results: There were 334 deaths among children under 5 years of age from 2004 to 2012, with an average mortality rate of 10.84 ‰. Compared with 2012, the deaths of newborns, infants and children under 5 showed a significant downward trend, reaching the level of “Shiyan 2004 Year ~ 2012 Children’s Development Plan ”requirements of the target. The top two causes of death were neonatal asphyxia, low birth weight premature birth, congenital anomalies have an upward trend, the rank of other causes of change little change. CONCLUSIONS: Strengthening perinatal care, neonatal and infant care, improving the management of tertiary care networks and the level of first aid for medical staff are key measures to reduce the mortality rate of children under five years of age.