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目的了解东台市婴儿死亡率变化趋势及主要死因,探讨进一步降低婴儿死亡率措施。方法对2004—2013年婴儿死亡资料进行回顾性分析。结果 2004—2013年辖区累计活产64 032人,婴儿死亡率5.84‰,婴儿死亡率呈波动性下降趋势;婴儿前5位死因是先天异常、肺炎、早产和低出生体重、意外窒息、出生窒息;自2010年起,省(市)级医院死前诊断构成比逐年增加。结论东台市婴儿死亡率呈波动性下降。应根据死因分布特点制定有针对性的方案,深入持久开展妇幼保健服务以降低婴儿死亡率。
Objective To understand the trend and the main causes of infant mortality in Dongtai City and to explore measures to further reduce the infant mortality rate. Methods The data of infant deaths from 2004 to 2013 were analyzed retrospectively. Results The total number of live births was 64 032 and the infant mortality rate was 5.84 ‰ in 2004-2013. The infant mortality rate showed a downward trend. The top five causes of infant death were congenital anomalies, pneumonia, premature birth, low birth weight, accidental asphyxia and birth asphyxia ; Since 2010, provincial (city) level hospital pre-death diagnosis ratio increased year by year. Conclusion Dongtai infant mortality rate showed a drop of volatility. Targeted programs should be developed based on the distribution of causes of death, with an in-depth and sustained maternal and child health care service to reduce infant mortality.