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【目的】建立婴儿出生、死亡联合档案,分析导致婴儿死亡的危险因素,为制订相应的预防控制措施提供依据。【方法】应用婴儿出生、死亡记录共同建立婴儿出生死亡联合档案的方法,对2004—2007年出生的婴儿1年内的死亡情况进行了分析。【结果】2004—2007年上海市的婴儿死亡风险在3.14‰~4.09‰之间,新生儿死亡风险高于后期婴儿死亡风险。出生体重越低,婴儿死亡风险越高,但当婴儿出生体重达到或超过4 500 g时,婴儿死亡风险不降反有所上升。同时,婴儿出生体重越低,在新生儿期死亡的比例越高。【结论】匹配婴儿出生、死亡档案的方法可以帮助发现婴儿死亡的危险因素。婴儿的出生体重是影响婴儿生存状况的重要因素。
【Objective】 To establish a joint archives of births and deaths of infants and analyze the risk factors of infant deaths so as to provide the basis for formulating appropriate preventive and control measures. 【Method】 The method of establishing a joint archives of births and deaths of infants by birth and death records was used to analyze the deaths of infants born in 2004-2007 within one year. 【Results】 The risk of infant death in Shanghai from 2004 to 2007 ranged from 3.14 ‰ to 4.09 ‰, the risk of neonatal death was higher than the risk of late death. The lower the birth weight, the higher the risk of infant death, but the increase in the risk of infant death does not decrease when the birth weight reaches or exceeds 4 500 g. At the same time, the lower the birth weight of a baby, the higher the proportion of deaths during the neonatal period. 【Conclusion】 The method of matching the birth and death records of infants can help identify the risk factors of infant death. The birth weight of infants is an important factor that affects the living conditions of infants.