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［目的］掌握北京市 ５岁以下儿童死亡水平及保健服务利用状况。［方法］对 １９９２～ １９９８年北京市５岁以下儿童生命监测结果进行分析。［结果］５岁以下儿童死亡率逐年下降，１９９２年为１５．２％，１９９８年为９．６‰，（ｘ２＝７７．６４，Ｐ＜０．００１）。死亡地点在医院、途中、家中比例分别人７５．６２％、５．３１％、１９．０７％，７年间远县儿童死前在市级医院就诊的比例明显升高。结论提高保健服务利用的质量是降低死亡率的重要措施。
[Objective] To master the death level of children under 5 in Beijing and health service utilization. [Methods] The life monitoring results of children under 5 years old in Beijing from 1992 to 1998 were analyzed. [Results] The mortality rate of children under 5 years of age decreased year by year, from 15.2% in 1992 to 9.6% in 1998 (x2 = 77.64, P <0.001). At the hospital, the proportion of their deaths was 75.62%, 5.31% and 19.07%, respectively. The proportion of children in Yuan county who had been hospitalized before the death in seven years was significantly higher. Conclusion Improving the quality of health care services is an important measure to reduce mortality.