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目的:分析贵港市5岁以下儿童死亡的原因和趋势,为制订有效的干预措施提供科学依据。方法:按照《广西5岁以下儿童死亡监测方案》要求进行资料收集和整理,对2002~2007年5岁以下儿童死亡情况进行回顾性分析。结果:2007年贵港市新生儿死亡率为6.50‰;婴儿死亡率为9.60‰;5岁以下儿童死亡率为13.64‰。较2002年分别下降了2.43‰、8.33‰、9.71‰,经2χ检验差异均有统计学意义,新生儿死亡率、婴儿死亡率、5岁以下儿童死亡率呈逐年下降趋势,其中新生儿死亡率下降幅度较小。前4位死因是:早产低体重、出生窒息、肺炎、意外。结论:降低5岁以下儿童死亡率的关键在于降低新生儿死亡率,应做好孕期和儿童保健、防止意外事故发生。提高产、儿科的质量,推广新生儿窒息复苏技术,提高小儿肺炎的诊断和救治水平。
Objective: To analyze the causes and trends of the death of children under the age of 5 in Guigang City, and to provide a scientific basis for the formulation of effective interventions. Methods: According to the requirements of “Guangxi Children under 5 years of age monitoring program” to collect and organize data, the death of children under 5 years of age from 2002 to 2007 were retrospectively analyzed. Results: In 2007, the death rate of newborns in Guigang City was 6.50 ‰, the infant mortality rate was 9.60 ‰, and the death rate of children under 5 years old was 13.64 ‰. Down 2.43 ‰, 8.33 ‰ and 9.71 ‰ compared with that of 2002 respectively. There was a significant difference in 2χ test between neonatal mortality rate, infant mortality rate and child mortality rate under 5 years old. The neonatal mortality rate The decline is smaller. The top 4 causes of death are: premature birth, low birth weight, asphyxia, pneumonia, accidents. Conclusion: The key to reducing mortality in children under 5 years of age is to reduce neonatal mortality and to make pregnancy and child health well protected against accidents. Improve the quality of production, pediatrics, promote neonatal asphyxia recovery technology, improve the diagnosis and treatment of pneumonia in children.