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目的:了解临沧市临翔区5岁以下儿童死亡变化趋势及主要死亡原因,为制定儿童保健干预措施提供科学依据。方法:利用临翔区妇幼卫生年报资料,对5岁以下儿童死亡情况进行分析。结果:10年来临翔区5岁以下儿童死亡率呈逐年下降趋势,到2010年已降至9.99‰;婴儿死亡的主要死因依次为出生窒息、肺炎、早产低出生体重,而1~4岁儿童的主要死因为意外死亡与肺炎;死前就医率59.5%,在就医途中死亡的比例仅7.02%。结论:降低5岁以下儿童死亡率的关键是降低出生窒息、肺炎、早产的死亡率,做好围产期保健工作,提高产、儿科质量,掌握窒息复苏技术,普及科学育儿知识。
OBJECTIVE: To understand the trend of death and the main causes of death among children under 5 years of age in Linxiang District of Lincang City, and provide a scientific basis for formulating child health care interventions. Methods: According to the annual report of MCH in Linxiang District, the death of children under 5 years old was analyzed. Results: The mortality rate of children under 5 years of age in Linxiang District decreased gradually to 10 years. It dropped to 9.99 ‰ in 2010. The main causes of infant death were birth asphyxia, pneumonia and premature birth with low birth weight. However, children aged 1 ~ 4 years old The main causes of death were accidental death and pneumonia; 59.5% of them were hospitalized before death and only 7.02% died while they were on medical treatment. Conclusion: The key to reducing the mortality rate of children under 5 years of age is to reduce the mortality rate of asphyxia, pneumonia and premature birth, improve the perinatal health care, improve the quality of birth and pediatrics, master the apnea resuscitation technology and popularize the knowledge of child rearing.