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目的了解北京市大兴区0～4岁儿童先天畸形死亡现状、死因构成及分布特点,并提出预防策略。方法对大兴区1998-2007年0～4岁儿童先天畸形死亡监测数据及81例死亡病例进行分析。采用卡方检验进行数据处理。结果10年间大兴区0～4岁儿童先天畸形死亡均占0～4岁儿童死因顺位的第一位,无下降趋势;先天性心脏病、唇腭裂、多发畸形为前三位死因;儿童死亡年龄分布新生儿占58.02%、婴儿占90.12%、1～4岁占9.88%。结论降低婴儿及0～4岁儿童死亡率的重点工作应为降低先天畸形的死亡,先天畸形引起死亡的干预工作尤为重要。
Objective To understand the status of congenital malformation, the cause of death and its distribution in 0 ~ 4-year-old children in Daxing District of Beijing and to propose prevention strategies. Methods The data of congenital malformation death in children aged 0-4 years from 1998 to 2007 in Daxing district and 81 deaths were analyzed. Using chi-square test for data processing. Results The congenital malformations of children aged 0-4 years old in Daxing district all accounted for the first place of the cause of death among children aged 0-4 years in 10 years. The congenital heart disease, cleft lip and palate, multiple deformities were the first three causes of death. Children died Age distribution 58.02% of newborns, infants 90.12%, 1 to 4 years old accounted for 9.88%. Conclusions The key work to reduce infant and 0 to 4-year-old children’s mortality should be to reduce the death of congenital anomalies and the intervention of congenital malformations is particularly important.