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目的:掌握启东市5岁以下儿童死亡变化趋势及主要死因,并探讨其干预措施。方法:对2003~2006年启东市5岁以下儿童生命监测结果进行回顾性分析。结果:①儿童死亡主要发生在婴儿期;②主要死因无明显变化;③意外死亡儿童增多;④5岁以下儿童死因顺位依次为意外死亡、出生窒息、肺炎、先天畸形、先天性心脏病、早产低出生体重。结论:加强孕期、围产期保健与婴儿期保健工作依然是重点,提高全社会的妇幼保健意识,提高妇幼保健技术人员的综合服务能力,努力降低5岁以下儿童死亡率。
Objective: To grasp the change trend and the main cause of death of children under 5 years of age in Qidong and explore its intervention measures. Methods: The life monitoring results of children under 5 years of age in Qidong from 2003 to 2006 were analyzed retrospectively. Results: (1) Child death occurred mainly in infancy; (2) There was no significant change in the main cause of death; (3) Child accidental death increased; (4) Death causes of children under 5 years of age were accidental death, birth asphyxia, pneumonia, congenital malformation, congenital heart disease, Low birth weight. CONCLUSION: Strengthening pregnancy, perinatal care and infancy health care work remains the focus. It will raise the awareness of maternal and child health in the whole society and improve the comprehensive service ability of MCH technicians so as to reduce the mortality rate of children under 5 years of age.