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目的:了解灵武市5岁以下儿童死亡率,探讨死亡原因及发展趋势,提出干预措施。方法:对2000～2009年5岁以下儿童死亡检测报表及死亡报告卡进行整理分析。结果:5岁以下儿童死亡率17.31‰,婴儿死亡率14.49‰,新生儿死亡率11.83‰。5岁以下儿童死亡率从2000年的21.76‰下降到2009年的15.74‰,总体呈逐年下降趋势。死因顺位以出生窒息为首位,5岁以下儿童死亡中婴儿所占比例最高(平均83.78%),新生儿占婴儿死亡的81.62%。结论:降低新生儿死亡率,减少意外死亡是降低5岁以下儿童死亡率的关键。
OBJECTIVE: To understand the mortality rate of children under 5 years of age in Lingwu City, discuss the causes and trends of death, and propose intervention measures. Methods: The death report and death report card of children under 5 years of age from 2000 to 2009 were analyzed. Results: The mortality rate of children under 5 years old was 17.31 ‰, the infant mortality rate was 14.49 ‰, and the neonatal mortality rate was 11.83 ‰. The death rate of children under 5 years of age dropped from 21.76 ‰ in 2000 to 15.74 ‰ in 2009, showing an overall decreasing trend year by year. The cause of death causes birth asphyxia as the first place, the highest proportion of infants under 5 years of age (83.78% average), and the newborn accounted for 81.62% of infant deaths. Conclusion: Reducing neonatal mortality and reducing unplanned deaths are the key to reducing mortality in children under five years of age.