论文部分内容阅读
目的:了解海原县5岁以下儿童死亡变化趋势及主要死亡原因,为降低5岁以下儿童死亡率寻求干预措施。方法:对海原县2008～2010年儿童死亡的监测资料进行分析,总结5岁以下儿童死亡率的变化趋势,分析5岁以下儿童死亡的年龄构成特点及死亡原因。结果:随住院分娩率上升5岁以下儿童死亡率呈逐年下降趋势;儿童死亡主要发生在婴儿期;儿童死亡主要原因为早产、出生窒息、先天性疾病、意外窒息、肺炎及颅内出血,其中先天性疾病死亡增多,出生窒息、早产或低出生体重死亡率仍居高不下;1～4岁儿童死因主要是交通意外、肺炎、溺水。结论:应加强围产期保健管理,强化医疗机构内涵建设,提高产科和儿科的服务质量,推动“先天性疾病筛查干预项目”发展,加强儿童保健系统管理,加大交通安全的宣传力度,进一步降低5岁以下儿童死亡率。
OBJECTIVES: To understand the trends of death and major causes of death among children under 5 in Haiyuan County and to seek interventions to reduce the mortality rate among children under 5 years of age. Methods: The monitoring data of child death from 2008 to 2010 in Haiyuan County were analyzed. The trend of mortality rate of children under 5 years old was summarized. The age composition and mortality of children under 5 years old were analyzed. Results: The mortality rate of children under 5 years showed a declining trend with the increase of hospital delivery rate. The death of children mainly occurred in infancy. The main causes of child death were premature birth, birth asphyxia, congenital diseases, accidental suffocation, pneumonia and intracranial hemorrhage, Increased mortality from sexually transmitted diseases, asphyxial birth, and premature or low birth weight mortality rates remain high; traffic accidents, pneumonia and drowning are the major causes of death among children aged 1-4. Conclusion: The perinatal care management should be strengthened, the connotation construction of medical institutions should be strengthened, the quality of obstetrics and pediatrics should be improved, the development of “Congenital Disease Screening Intervention Project” should be promoted, the management of child health care system should be strengthened, and the propaganda of traffic safety should be strengthened. Efforts to further reduce the mortality rate of children under 5 years of age.