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目的:了解永定区5岁以下儿童死亡率,分析死亡原因和变化趋势,提出干预措施。方法:对永定区2000~2006年5岁以下儿童死亡监测报表和儿童死亡报告卡进行整理分析。结果:5岁以下儿童死亡率21.45‰,婴儿死亡率18.02‰;5岁以下儿童死亡率由2000年的30.64‰下降到2006年的15.52‰;婴儿死亡率由2000年的27.77‰下降到2006年的11.15‰;5岁以下儿童死因顺位前5位依次为肺炎、出生窒息、早产、出生低体重、意外窒息、先天性心脏病。结论:降低婴儿死亡率是降低5岁以下儿童死亡率的关键;加强肺炎防治,提高产科、儿科医疗水平,预防出生缺陷是控制和降低5岁以下儿童死亡率的重要保证。
OBJECTIVE: To understand the mortality rate of children under 5 years old in Yongding District, analyze the causes and trends of death, and propose intervention measures. Methods: The death monitoring report and child death report card of children under 5 years old from 2000 to 2006 in Yongding district were analyzed. Results: The mortality rate of children under 5 years old was 21.45 ‰ and the infant mortality rate was 18.02 ‰. The mortality rate of children under 5 years old dropped from 30.64 ‰ in 2000 to 15.52 ‰ in 2006. The infant mortality rate dropped from 27.77 ‰ in 2000 to 2006. Of the 11.15 ‰; the top 5 causes of death among children under 5 years of age were pneumonia, asphyxia at birth, premature birth, low birth weight, accidental suffocation and congenital heart disease. CONCLUSIONS: Reducing infant mortality is the key to reducing mortality in children under five years of age. Strengthening pneumonia control, improving obstetric and pediatric medical care, and preventing birth defects are important guarantees for controlling and reducing mortality in children under five years of age.