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目的分析山东省平度市2009~2012年5岁以下儿童死亡情况及其死亡的主要原因及相关因素,制定干预措施。方法对山东省平度市2009~2012年5岁以下205例儿童死亡监测资料进行回顾性分析。结果山东省平度市5岁以下儿童死亡率平均为4.32‰;新生儿死亡、婴儿死亡分别占5岁以下儿童死亡的60%和84.39%;男童死亡率(57.56%)>女童(42.44%);早产/低出生体重、出生窒息、先天性心脏病是主要死因。结论降低新生儿、婴儿死亡率是降低5岁以下儿童死亡率的关键,因此应加强对基层妇幼保健人员新生儿复苏等适宜技术培训,大力宣传与指导孕期保健知识以降低死亡率。
Objective To analyze the main causes and related factors of death and death among children under 5 years of age from 2009 to 2012 in Pingdu City, Shandong Province and to make intervention measures. Methods A retrospective analysis was conducted on 205 deaths monitoring data of children under 5 years of age from 2009 to 2012 in Pingdu City, Shandong Province. Results The average death rate of children under 5 years of age in Pingdu City of Shandong Province was 4.32 ‰. Neonatal deaths and infant deaths accounted for 60% and 84.39% of the total deaths of children under 5 years old respectively. The death rate of boys was 57.56% and 42.44% ); Premature birth / low birth weight, birth asphyxia, congenital heart disease is the leading cause of death. Conclusions Decreasing the neonatal and infant mortality rate is the key factor to reduce the mortality rate of children under 5 years of age. Therefore, proper technical training should be strengthened for neonatal resuscitation among primary maternal and child health workers, and vigorous promotion and guidance of pregnancy health knowledge to reduce mortality.