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目的:了解淄博市出生窒息死亡病例的流行病学特征及城乡差异,提出降低新生儿出生窒息死亡率的干预措施。方法:对淄博市2000～2010年5岁以下儿童死亡监测中的385例出生窒息死亡案例进行分析。结果:出生窒息在淄博市5岁以下儿童死亡主要疾病死因前三位波动,死亡率呈逐年下降趋势;出生窒息是影响5岁以下儿童死亡率的重要因素。结论:加强窒息复苏技术培训,落实高危新生儿诊治分级管理制度,加强围产期保健等降低出生窒息死亡率可有效降低5岁以下儿童死亡率。
OBJECTIVE: To understand the epidemiological characteristics of urban asphyxial deaths and the differences between urban and rural areas in Zibo City, and to propose interventions to reduce the mortality rate of asphyxial births in newborns. Methods: 385 cases of death from asphyxial death in children under 5 years old in Zibo from 2000 to 2010 were analyzed. Results: Birth asphyxia in the Zibo City, the first three major causes of death of children under 5 years of age fluctuations, the mortality rate showed a declining trend; birth asphyxia is an important factor affecting the mortality rate of children under 5 years of age. Conclusions: To strengthen the training of apnea resuscitation techniques, implement the grading management system of high-risk neonatal diagnosis and treatment, and strengthen perinatal care to reduce the mortality rate of asphyxial birth can effectively reduce the mortality rate of children under 5 years of age.