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目的了解深圳市2013-2015年5岁以下儿童死亡率,以及死因顺位等监测情况。方法收集2013-2015年深圳市5岁以下儿童死亡监测资料,计算婴儿、5岁以下儿童死亡率,5岁以下儿童主要死因别死亡率及死因顺位。结果 2015年深圳市婴儿和5岁以下儿童死亡率分别为2.05‰和2.84‰,较2013年(3.01‰和3.96‰)分别下降了31.89%和28.28%。2013-2015年5岁以下儿童的早产/低出生体重、肺炎和先天性心脏病死亡率有明显下降趋势(P<0.05)。早产/低出生体重是婴儿死亡的首位死因,而1~4岁儿童的首位死因为交通意外。结论深圳市5岁以下儿童死亡率呈明显的下降趋势,提高产前诊断技术与新生儿复苏技术,加强围生期保健,提高安全意识,预防意外伤害,是进一步降低5岁以下儿童死亡率的关键。
Objective To understand the monitoring of the death rate of children under 5 years of age in Shenzhen in 2013-2015 and the rank of cause of death. Methods The data of deaths of children under 5 years of age in Shenzhen from 2013 to 2015 were collected to calculate the infant mortality rate, the mortality rate of children under 5 years old, the major causes of death and the cause of death among children under 5 years of age. Results The death rates of infants and children under 5 in Shenzhen in 2015 were 2.05 ‰ and 2.84 ‰, respectively, down 31.89% and 28.28% respectively from 2013 (3.01 ‰ and 3.96 ‰). The prevalence rates of preterm birth, low birth weight, pneumonia and congenital heart disease in children under 5 years of age decreased significantly from 2013 to 2015 (P <0.05). Premature birth / low birth weight are the leading cause of death among infants, while the first cause of death among children aged 1-4 is traffic accidents. Conclusions The mortality rate of children under 5 years of age in Shenzhen shows a declining trend. The techniques of prenatal diagnosis and neonatal resuscitation are improved. The perinatal health care, safety awareness and accidental injury prevention are further reduced, which is to further reduce the mortality rate of children under 5 years of age The essential.