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目的通过对桑植县十年来5岁以下儿童死亡分析,了解儿童死亡水平,掌握5岁儿童死亡的主要原因及变化的规律,为采取适宜的干预措施提供科学依据。方法根据监测报表将2000-2009年所监测的儿童死亡原因进行归纳分析。结果桑植县5岁以下儿童死亡率从2000年的24.96‰下降到2009年的12.91‰,婴儿死亡率占儿童死亡率的81.15%,新生儿死亡率占婴儿死亡率的71.09%,死因顺位从2000年的出生窒息、肺炎、意外死亡、早产低出生体重、先天异常、腹泻,到2009年的早产低体重、意外死亡、肺炎及先天异常、出生窒息、腹泻。结论桑植县婴儿和5岁以下儿童死亡率以2000年为基数分别下降了52.88%和48.27%;死因顺位发生了改变;提高医疗水平、加强儿童系统管理、及妇幼保健网络的管理是降低儿童死亡率的关健。
Objective To analyze the death of children under 5 years old in Sangzhi County in the past ten years, understand the causes of death of children, master the causes and changes of death of 5-year-old children, and provide scientific basis for appropriate interventions. Methods According to the monitoring report, the causes of death of children monitored from 2000 to 2009 were summarized. Results The mortality rate of children under 5 years old in Sangzhi County dropped from 24.96 ‰ in 2000 to 12.91 ‰ in 2009, the infant mortality rate accounted for 81.15% of the child mortality rate, the neonatal mortality rate accounted for 71.09% of the infant mortality rate, Asphyxia from birth in 2000, pneumonia, accidental death, low birth weight preterm birth, congenital anomalies, diarrhea, premature births, low birth weight in 2009, accidental death, pneumonia and congenital anomalies, birth asphyxia, diarrhea. Conclusions The mortality rate of infants and children under 5 years old in Sangzhi County decreased by 52.88% and 48.27% respectively from the year 2000. The cause of death was changed. The improvement of medical care, the strengthening of children’s system management, and the management of maternal and child health care networks were reduced The key to child mortality.