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目的:了解成都市金牛区2006～2008年5岁以下儿童死亡率、死因顺位和死因变化趋势,为制定有效的干预措施、降低5岁以下儿童死亡率提供科学依据。方法:对成都市金牛区2006～2008年5岁以下儿童死亡率及前3位死因变化情况进行分析。结果:2006～2008年5岁以下儿童死亡率呈波动性下降,分别为8.98‰、4.38‰和7.85‰,前3位死因依次为出生窒息、早产和低出生体重、肺炎、意外窒息和先心病。结论:加强孕产期保健,重视对妇幼保健人员业务技能水平的培训,提高医护人员的急诊急救技术水平,增加抢救成活率,是降低5岁以下儿童死亡率的重要措施。
OBJECTIVE: To understand the trend of death rate, the cause of death and the cause of death among children under 5 years old in Jinniu District of Chengdu from 2006 to 2008, and provide a scientific basis for formulating effective intervention measures and reducing the mortality rate of children under 5 years old. Methods: The mortality rate and the cause of death of the first three children under 5 years old in Jinniu District of Chengdu from 2006 to 2008 were analyzed. Results: The mortality rate of children under 5 years of age fluctuated from 2006 to 2008 with a decrease of 8.98 ‰, 4.38 ‰ and 7.85 ‰, respectively. The top three causes of death were birth asphyxia, premature birth and low birth weight, pneumonia, accidental suffocation and congenital heart disease . Conclusions: Strengthening maternal and child health care, paying more attention to maternal and child health care workers’ professional skill level, improving the level of first aid and emergency treatment for medical staff and increasing the survival rate of rescue are important measures to reduce the mortality rate of children under 5 years of age.