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目的:分析了解近年宁波市儿童死亡情况,为干预儿童死亡提供参考依据。方法:根据宁波市疾病控制中心提供的宁波市居民死亡报表资料,对2003-2007年0~14岁死亡儿童数据进行统计汇总并分析。结果:宁波市儿童前4位的死因为意外伤害、围生因素、先天畸形染色体异常和肿瘤。5年间死亡率有逐渐下降趋势,下降幅度以肿瘤、围生因素最大。先天畸形染色体异常死亡所占的构成比顺位有上移。结论:要降低宁波市儿童死亡率,在继续做好孕期围生保健的基础上,重点应放在儿童意外伤害的防治和胎儿产前诊断上。前者需要动员全社会,采用多方位的综合措施,加强防范意识,预防儿童意外伤害的发生率和死亡率;后者则应从资源广、操作方便、创伤小且已普遍应用的超声检查着手,加强业务学习,提高诊断水平。
OBJECTIVE: To analyze and understand the death of children in Ningbo in recent years and provide reference for intervention in children’s death. Methods: Based on the data of deaths of Ningbo residents provided by Ningbo Center for Disease Control and Prevention, the data of children aged 0-14 years from 2003 to 2007 were collected and analyzed statistically. Results: The top 4 deaths of children in Ningbo City were accidental injuries, peripheral factors, chromosomal abnormalities and tumors of congenital malformations. 5 years mortality rate has gradually decreased, the decline rate of the tumor, the largest perinatal factors. Congenital malformations accounted for the death of chromosomal abnormalities compared with the order of up. Conclusion: To reduce the child mortality rate in Ningbo City, while continuing to do a good job in perinatal care during pregnancy, the emphasis should be placed on the prevention and treatment of fetal accidental injuries and the prenatal diagnosis of fetuses. The former needs to mobilize the whole society and adopt a comprehensive and multi-faceted approach to strengthen prevention awareness and prevent child accidental injuries and death rates. The latter should start with a wide range of resources that are easy to operate, less traumatic and have been widely used in ultrasound examination. Business learning, improve the diagnostic level.