论文部分内容阅读
目的对新余市2007—2011年5岁以下儿童各期死亡率变化趋势及死因进行分析。方法调查新余市2007年1月1日—2011年12月31日死亡的5岁以下儿童,按照《中国妇幼卫生监测方案》进行资料收集和整理,死亡病例填写死亡报告卡,死因诊断、分类按国际疾病分类进行,按方案要求进行补漏调查。结果新余市2007—2011年新生儿死亡率、婴儿死亡率及5岁以下儿童死亡率均呈逐年下降趋势,2011年与2007年比较,农村新生儿、婴儿及5岁以下儿童死亡率差异均有统计学意义(均P<0.05),城镇新生儿、婴儿及5岁以下儿童死亡率差异均无统计学意义(均P>0.05)。5岁以下儿童2007年死亡原因居前三位的是:早产或低出生体重(19.27%)、新生儿窒息(17.43%)、先天性畸形(14.22%),而2011年死亡原因居前三位的是:意外伤害(29.37%)、早产或低出生体重(16.78%)、肺炎(16.08%)。结论 2007—2011年新余市5岁以下儿童各期死亡率出现明显下降趋势,死因中新生儿窒息下降尤为显著,意外伤害成为首位死亡原因。
Objective To analyze the change trend and cause of death of children under 5 years old in Xinyu during 2007-2011. Methods To investigate the data collection and arrangement of the children under 5 years of age who died on January 1, 2007 and December 31, 2011 in Xinyu City according to the “China MCH Surveillance Program”, and to complete the death report card, International disease classification, according to program requirements for trap investigation. Results The neonatal mortality rate, infant mortality rate and the mortality rate of children under 5 years of age decreased from 2007 to 2011 in Xinyu City. The mortality rates of newborns, infants and children under 5 years old in 2011 were lower than those in 2007 There was no significant difference in mortality rate among newborns, infants and children under 5 years of age (all P <0.05). Among the top three causes of death in children under 5 years of age in 2007 were premature birth or low birth weight (19.27%), neonatal asphyxia (17.43%) and congenital malformations (14.22%), while the top three causes of death in 2011 Were: accidental injury (29.37%), premature birth or low birth weight (16.78%), pneumonia (16.08%). Conclusion The mortality rates of children under 5 years of age in Xinyu City decreased significantly from 2007 to 2011. The neonatal asphyxia in the cause of death was particularly significant. Accidental injury was the leading cause of death.