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目的:掌握桑植县5岁以下儿童死亡情况及主要死因,并探讨干预措施。方法:对桑植县2002～2006年702例0～4岁儿童死亡现状、死因结构及相关因素进行回顾性分析。结果:5岁以下儿童死亡率有逐年降低趋势,5岁以下儿童死因主要为肺炎、出生窒息、意外、先天异常、早产和低出生体重等。结论:降低桑植县5岁以下儿童死亡率,必须做好母孕期保健工作,积极推广产科、儿科适宜技术,提高儿童安全防范意识,提高产前诊断及筛查能力,积极改善农村儿童的生存水平。
Objective: To master the death and the main causes of death of children under 5 years of age in Sangzhi County and to explore the intervention measures. Methods: The death status, causes of death and related factors of 702 children aged 0-4 years from 2002 to 2006 were retrospectively analyzed. Results: The mortality rate of children under 5 years of age decreased year by year. The main causes of death among children under 5 years old were pneumonia, birth asphyxia, accidents, congenital anomalies, premature birth and low birth weight. Conclusion: To reduce the mortality rate of children under 5 years of age in Sangzhi County, we must do a good job in the mother-to-child health care work, actively promote obstetric and pediatric appropriate technologies, raise awareness of child safety precautions, improve the capacity of prenatal diagnosis and screening, and actively improve the survival of rural children Level.