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目的:了解慈溪市儿童意外死亡率,分析死亡原因,提出干预措施。方法:对慈溪市2004～2009年居民死亡资料进行整理并进行流行病学分析。结果:慈溪市儿童意外死亡率由2004年的4.65/10万下降至2009年的2.03/10万,年平均为3.27/10万。儿童意外死亡的前4位死因分别是溺水、交通事故、意外窒息、中毒,占全部意外死亡的92.7%,男性高于女性。1岁以下婴儿意外死亡以意外窒息为主,1岁以上儿童以溺水和交通意外为主。结论:儿童意外死亡已成为危害儿童生存及生存质量的主要原因,并成为重要的公共安全问题之一。溺水、交通意外、意外窒息是慈溪市儿童意外伤害最主要的死因。加强宣传教育,提高全人群的安全防范意识,是预防儿童意外死亡的首要干预措施。健全急救体系,提高急救技术水平,普及急救知识,加强政府监管,可最大限度降低儿童意外死亡率。
Objective: To understand the accidental death rate of children in Cixi City, analyze the causes of death, put forward interventions. Methods: The death data of residents in Cixi City from 2004 to 2009 were collected and epidemiologically analyzed. Results: The accidental death rate of children in Cixi dropped from 4.65 / 100,000 in 2004 to 2.03 / 100,000 in 2009 with an average annual rate of 3.27 / 100,000. The top four causes of child accidental death were drowning, traffic accidents, accidental suffocation and poisoning, accounting for 92.7% of all unforeseen deaths, with men over women. Accidental asphyxia was the main cause of accidental death of infants under the age of 1, with drowning and traffic accidents among children over the age of one. Conclusion: The accidental death of children has become the main reason that endangers children’s survival and quality of life, and becomes one of the important public safety issues. Drowning, traffic accidents, accidental suffocation is the most important cause of child accidental injuries in Cixi City. Strengthening publicity and education and raising awareness of the safety precautions of the entire population are the primary interventions in preventing the accidental death of children. Improve the emergency system, improve the level of first aid technology, popularize the first aid knowledge and strengthen the government supervision, to minimize the accidental death rate of children.