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目的:了解丽水市5岁以下儿童死亡分布和变化趋势以及死因构成情况,以便采取有效措施,进一步降低5岁以下儿童死亡率。方法:对2008-2014年丽水市5岁以下儿童死亡资料进行回顾性统计分析。结果:2008-2014年期间,丽水市早期新生儿、新生儿、婴儿、5岁以下儿童死亡率分别为2.31‰、3.28‰、5.58‰、8.20‰,呈逐步下降趋势(P<0.05),城乡间、男女童之间的5岁以下儿童死亡差异有统计学意义(P<0.05);新生儿死亡首位死因为早产及低出生体重儿,占比25.91%,先天性心脏病是婴儿和5岁以下儿童死亡的首位死因。结论:降低婴儿死亡率,尤其是早期新生儿死亡率,是降低5岁以下儿童死亡率的关键,应加强围生期、新生儿期、婴儿期的医疗保健工作,同时加强产儿科的建设和密切的配合。
OBJECTIVE: To understand the distribution and trend of death among children under 5 years of age in Lishui City and the cause of death, in order to take effective measures to further reduce the mortality rate of children under 5 years of age. Methods: A retrospective statistical analysis was conducted on the death data of children under 5 years of age in Lishui City during 2008-2014. Results: The mortality rates of newborns, newborns, infants and children under 5 years old in early stage of Lishui City were 2.31 ‰, 3.28 ‰, 5.58 ‰ and 8.20 ‰ respectively in the period of 2008-2014, showing a gradual decreasing trend (P <0.05) (P <0.05). The first cause of neonatal death was premature birth and low birth weight children, accounting for 25.91%. The congenital heart disease was infants and 5 years old The first cause of death of the following children. Conclusions: Reducing infant mortality, especially early neonatal mortality, is the key to reducing mortality in children under 5 years of age, and should be strengthened in the perinatal, neonatal and infancy aspects of health care while strengthening pediatric pediatric construction and Close cooperation.