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目的:了解船营区5岁以下儿童死亡情况及主要死因,为制定儿童生存、保护战略措施提供科学依据。方法:对2005～2009年全区98例0～4岁儿童死亡情况、死亡年龄构成、死因构成及相关因素进行回顾性分析。结果:5年间共出生活产儿12372例,5岁以下儿童死亡率为7.92‰,婴儿死亡率为7.03‰,新生儿死亡率5.58‰。船营区5岁以下儿童死亡率逐年降低,城市5岁以下儿童死亡率低于农村,5岁以下儿童的死因顺位前3位是早产低出生体重、出生窒息、先天性心脏病。结论:应将农村作为妇幼保健工作的重点,同时加强对新生儿的监护,加强围产期保健和儿童保健服务质量。
OBJECTIVE: To understand the death and major causes of death of children under 5 in the camp area and to provide a scientific basis for formulating strategies for the survival and protection of children. Methods: A retrospective analysis was conducted on the deaths, the age of death, the causes of death and the related factors of 98 children aged 0-4 years from 2005 to 2009. Results: There were 12 372 live births in 5 years, 7.92 ‰ children under 5 years old, infant mortality rate 7.03 ‰ and neonatal mortality 5.58 ‰. The mortality rate of children under 5 years of age in the camp area is decreasing year by year. The death rate of children under 5 years of age in urban areas is lower than that in rural areas. The top 3 causes of death among children under 5 are premature birth, low birth weight, birth asphyxia and congenital heart disease. Conclusion: The rural areas should be the focus of maternal and child health care while strengthening the supervision of newborns and strengthening the quality of perinatal care and child health care services.