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目的:分析5岁以下儿童死亡的主要原因,寻求降低死亡率的方法与措施。方法:汇总2004～2008年度全市儿童死亡报表及死亡评审资料,分析造成前几位死亡的技术环节。结果:基层产科与围产保健人员技术薄弱和设备简陋、农村与偏远地区健康教育欠缺、不良的辅助生殖技术应用是造成儿童死亡的主要原因。结论:增加对乡村妇幼保健人员培训和设备投入,加强基层健康教育,严格把好辅助生殖技术应用关口是进一步降低儿童死亡率的关键。
OBJECTIVE: To analyze the main causes of death among children under 5 years of age and to seek ways and means to reduce mortality. Methods: The 2004-2008 annual report on the death of children in the city and death review data were collected to analyze the technical aspects of the first few deaths. Results: The basic obstetric and perinatal health care workers were weak and poorly equipped. There was a lack of health education in rural and remote areas. Poor application of assisted reproductive technology was the main cause of child death. Conclusion: The key to further reducing child mortality is to increase training and equipment investment for rural MCH workers, strengthen primary health education and strictly apply good assisted reproductive technology.