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目的了解城东区2006年-2010年5岁以下儿童死亡情况及主要死亡原因,为制定降低儿童死亡率的干预措施提供科学依据。方法按照《中国5岁以下儿童死亡监测方案》,对2006年-2010年城东区171例0岁~5岁儿童死亡情况、死因构成及相关因素,根据《妇幼卫生年报表》及《5岁以下儿童死亡报告卡》进行回顾性分析。结果 2006年-2010年城东区活产数为6731例,婴儿死亡151例,新生儿死亡131例,5岁以下儿童死亡171例,死亡率分别22.43‰、19.46‰、25.40‰.城东区5岁以下儿童死亡率逐年降低,5岁以下儿童死因顺位前三位依次是新生儿窒息、肺炎、早产(低出生体重)。结论加强三级保健网络建设,做好围生保健,提高产儿科技术水平和服务质量,重点做好新生儿窒息的抢救,加大健康教育力度,提高住院分娩率。
Objective To understand the deaths and the main causes of death among children under 5 years old in Chengdong District from 2006 to 2010 and provide a scientific basis for making interventions to reduce child mortality. Methods According to “China’s death monitoring program for children under 5 years old”, the author analyzed the deaths, the cause of death and the related factors of 171 children aged 0-5 years in Chengdong District from 2006 to 2010. According to the “MCH Annual Report” and “ Child death report card ”for a retrospective analysis. Results From 2006 to 2010, the number of live births in Chengdong District was 6731, 151 cases of infant death, 131 cases of neonatal death, 171 cases of children under 5 years old, the mortality rates were 22.43 ‰, 19.46 ‰ and 25.40 ‰, respectively. The following child mortality decreased year by year, the top three causes of death among children under 5 years of age were neonatal asphyxia, pneumonia, premature birth (low birth weight). Conclusions Strengthen the construction of tertiary health care network, improve perinatal health care, raise the level of pediatric technology and quality of service, focus on the rescue of neonatal asphyxia, increase health education and increase hospital delivery rate.