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目的分析合肥市2006-2014年5岁以下儿童死亡情况及主要死亡原因,为降低合肥市5岁以下儿童死亡率及制定相应的干预措施提供科学依据。方法通过收集合肥市2006-2014年5岁以下儿童死亡监测点监测数据,统计合肥市新生儿、婴儿、5岁以下儿童死亡率及5岁以下儿童主要死因别死亡率及死因的变化趋势。结果 2014年新生儿死亡率、婴儿死亡率及5岁以下儿童死亡率分别为3.51‰、4.79‰和6.01‰,较2006年分别下降了37.66%、44.50%和37.98%。9年间各年龄组儿童死亡率总体呈下降趋势;合肥市5岁以下儿童死亡的年龄构成均以婴儿死亡为主(80.18%),其中新生儿期死亡最多(71.05%);5岁以下儿童死因前3位以早产或低体重先天性心脏病和出生窒息为主。结论 2006-2014年合肥市5岁以下儿童死亡率明显下降,加强围产期保健,加强产前筛查、产前诊断及新生儿疾病筛查,提高新生儿救治技术,为减少5岁以下儿童死亡提供科学保障。
Objective To analyze the death and causes of death among children under 5 years of age in Hefei from 2006 to 2014 and provide the scientific basis for reducing the mortality of children under 5 years old in Hefei and formulating the corresponding interventions. Methods The monitoring data of death monitoring points of children under 5 years of age in Hefei from 2006 to 2014 were collected. The mortality rate and the cause of death of newborns, infants, children under 5 years old and major causes of death in children under 5 were calculated. Results The neonatal mortality rate, infant mortality rate and child mortality rate under 5 years old in 2014 were 3.51 ‰, 4.79 ‰ and 6.01 ‰ respectively, down 37.66%, 44.50% and 37.98% respectively from 2006. The death rate of children under 5 years of age in Hefei was dominated by infant deaths (80.18%), with the highest death rate in neonates (71.05%); the death rate of children under 5 years of age The first 3 to premature birth or low birth weight congenital heart disease and birth-based. Conclusions The death rate of children under 5 years of age in Hefei City decreased significantly from 2006 to 2014, and the perinatal health care was strengthened. Prenatal screening, prenatal diagnosis and screening of newborn diseases were strengthened to improve the neonatal treatment technology. In order to reduce the children under 5 years of age Death provide scientific support.