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目的分析江西省九江市庐山区5岁以下儿童死亡原因,寻求干预措施。方法对2001-2010年庐山区儿童死亡的监测资料进行整理分析。结果随住院分娩率上升,5岁以下儿童死亡率呈下降趋势;儿童死亡主要原因包括先天性心脏病、意外事故、早产或低出生体重、出生窒息、肺炎等。结论九江市庐山区应加强围产期保健管理,强化医疗保健机构内涵建设,加强医务人员技能培训,提高产科、儿科服务质量,推动先天性心脏病筛查干预项目发展,加强儿童保健系统管理等措施,进一步降低5岁以下儿童死亡率。
Objective To analyze the causes of death of children under 5 years of age in Lushan District, Jiujiang City, Jiangxi Province, and to seek intervention measures. Methods The monitoring data of child deaths in Lushan District from 2001 to 2010 were analyzed. The results showed that with the increase of hospital delivery rate, the mortality rate of children under 5 showed a decreasing trend. The main causes of child death included congenital heart disease, accident, premature birth or low birth weight, birth asphyxia and pneumonia. Conclusion Lushan District, Jiujiang City, should strengthen perinatal care management, strengthen the connotation construction of health care institutions, strengthen medical personnel skills training, improve obstetrics and gynecology services, promote congenital heart disease screening intervention project development, strengthen child health care system management Measures to further reduce child mortality under 5 years.