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目的:探讨近5年内我市建邺区5岁以下儿童死亡率的变化走向,为优化儿童保健工作、提高儿童生存率提供依据和参考。方法:回顾性分析2010年10月~2015年9月我辖区活产儿童中5岁以下儿童死亡的临床资料,统计每个年度的儿童死亡率情况,分析死亡率变化趋势。结果:12010年10月至2013年9月,我辖区5岁以下儿童死亡率呈下降趋势,2013年10月至2015年9月,我辖区5岁以下儿童死亡率呈上升趋势。年份间死亡率差异对比无统计学意义(P>0.05);25岁以下儿童死亡例数中,婴儿约占85%左右;32010年10月至2011年9月,我辖区儿童保健管理率92.48%,2014年10月至2015年9月,我辖区儿童保健管理率98.62%,呈逐年上升趋势,但户籍人口与非户籍人口的儿童保健管理率存在差距;4母乳喂养率最高峰为2013年10月至2014年10月,喂养率90.36%,而2014年10至2015年9月则降至87.47%,2013年10月以前也不足90%,婴儿母乳喂养率阶段性下降。结论:婴儿是5岁以下儿童死亡病例的最主要构成,因此,为提高5岁以下儿童存活率,各级妇幼保健部门需重点加强围产期保健,同时强化儿科服务质量,提升儿科保健人员素质,以改善儿童生存质量,满足儿童生存需求。
OBJECTIVE: To explore the change of mortality rate of children under 5 years old in Jianye District in the recent 5 years, and to provide basis and references for optimizing child health care work and improving children’s survival rate. Methods: The clinical data of children under 5 years of age living in our area from October 2010 to September 2015 were analyzed retrospectively. The incidence of child mortality in each year was calculated and the trend of mortality was analyzed. Results: From October 12010 to September 2013, the death rate of children under 5 years of age in my area showed a downward trend. From October 2013 to September 2015, the mortality rate of children under 5 years old in my area was on the rise. There was no significant difference in mortality between years (P> 0.05). Among infants under 25 years of age, infants accounted for about 85%. From October 2010 to September 2011, the management rate of children’s health in my area was 92.48% From October 2014 to September 2015, the rate of child health management in our area was 98.62%, showing an increasing trend year by year. However, there was a gap between the rate of child health management in census and non-census groups. 4 The highest rate of breastfeeding was in 2013 10 From January to October 2014, the rate of feeding was 90.36%, while that of 87.47% between September 2014 and September 2014 was less than 90% before October 2013, and the rate of infant breastfeeding declined in stages. Conclusions: Infants are the most important cause of death among children under 5 years of age. Therefore, in order to improve the survival rate of children under 5 years of age, MCH departments at all levels should focus on strengthening perinatal care while enhancing the quality of pediatric services and improving the quality of pediatric health care workers , To improve children’s quality of life to meet the needs of children’s survival.