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目的了解高唐县5岁以下儿童死亡变化趋势,分析5岁以下儿童死亡主要因素,为制定相应干预措施提供科学依据。方法对2009-2013年高唐县5岁以下儿童死亡资料进行统计分析。结果高唐县5岁以下儿童年平均死亡率为7.68‰,婴儿死亡率为6.87‰,新生儿死亡率为5.78‰;儿童死亡率总体呈下降趋势,围产期疾病死亡率下降明显。前5位死因为围产期疾病、先天性心脏病、早产儿和未成熟儿、新生儿产伤和窒息、其他先天畸形。结论加强围产期管理和健康教育水平,提高孕产妇和儿童系统化管理率,提升产科、儿科诊疗水平,加大疾病筛查力度是降低5岁以下儿童死亡率的有力措施。
Objective To understand the trend of death among children under 5 years old in Gaotang County and to analyze the main factors of death in children under 5 years of age and provide a scientific basis for formulating the corresponding interventions. Methods The data of death among children under 5 years of age in Gaotang from 2009 to 2013 were analyzed. Results The annual average mortality rate of children under 5 years old in Gaotang County was 7.68 ‰, the infant mortality rate was 6.87 ‰ and the neonatal mortality rate was 5.78 ‰. The overall mortality rate of children in Tongtang County showed a downward trend and the perinatal mortality rate decreased significantly. The top 5 causes of death are perinatal diseases, congenital heart disease, premature and immature infants, birth trauma and asphyxia, other congenital malformations. Conclusion Strengthening the management of perinatal period and health education, improving the systematic management rate of pregnant women and children, improving the obstetric and pediatric diagnosis and treatment, and increasing the intensity of disease screening are powerful measures to reduce the mortality rate of children under 5 years of age.