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[目的]通过对0~14岁儿童死亡资料的分析,掌握山东省儿童伤害的死亡特点,为制定干预政策提供依据。[方法]利用山东省第三次死因调查资料,对山东省2004~2005年0~14岁儿童伤害的死亡特点进行描述和分析。[结果]2004~2005年山东省0~14岁儿童伤害的死亡率为16.09/10万,标化死亡率为15.95/10万,意外伤害死亡率为15.19/10万,标化死亡率为14.78/10万。伤害死亡率总体趋势为随年龄增高而开始降低(P<0.05),前五位的死因分别为淹溺、公路交通事故、意外窒息、自杀和意外跌落。0~岁年龄组伤害的主要死因是意外窒息,1~岁年龄组伤害的主要死因是交通事故和淹溺,5~岁及以上年龄组伤害的主要死因是淹溺和交通事故。[结论]淹溺和交通事故死亡是我省伤害的最主要原因,要根据不同年龄的伤害特点,采取有针对性的预防措施,降低其发病率和死亡率。
[Objective] To analyze the death data of children aged 0 ~ 14 and master the characteristics of death from child injury in Shandong Province, and provide the basis for formulating the intervention policy. [Methods] Based on the investigation data of the third cause of death in Shandong Province, the characteristics of death from injuries of children aged 0-14 in Shandong Province from 2004 to 2005 were described and analyzed. [Results] The mortality rate of children aged 0-14 years from 2004 to 2005 in Shandong Province was 16.09 per 100 000, the standardized death rate was 15.95 per 100 000, the accidental injury mortality rate was 15.19 per 100,000 and the standardized mortality rate was 14.78 /100,000. The overall trend of injury mortality decreased with age (P <0.05). The top five causes of death were drowning, road traffic accidents, accidental suffocation, suicide and accidental falls. The main cause of death in the 0 ~ age group was accidental asphyxiation. The main causes of death in the age group of 1 to 5 were traffic accidents and drowning. The main causes of death in the age group of 5 and above were drowning and traffic accidents. [Conclusion] The drowning and traffic accident deaths are the main causes of injury in our province. According to the injury characteristics of different ages, we take targeted preventive measures to reduce the morbidity and mortality.