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目的掌握余姚市五岁以下儿童死亡的动态变化。探讨干预措施。降低五岁以下儿童死亡率。方法对2004年～2008年我市五岁以下儿童死亡监测资料进行分析。结果五岁以下儿童死亡率呈逐年下降趋势,前五位死因依次为:早产/低出生体重儿、先天性心脏病、溺水、出生缺陷、意外窒息。结论降低婴儿死亡率,特别是新生儿死亡率,是控制五岁以下儿童死亡率的关键,需加强围产期和新生儿期保健质量,积极推广窒息复苏技术,提高产前诊断水平,产前、产时、产后保健是降低五岁以下儿童死亡率的三大关键环节。同时要加强对年幼儿童的安全教育和监管工作及医疗保健网络建设。
Objective To grasp the dynamic changes of the death of children under five in Yuyao City. Explore interventions. Reduce the under-five mortality rate. Methods From 2004 to 2008, the data of death monitoring of children under five in our city were analyzed. Results The mortality rate of children under five showed a declining trend year after year. The top five causes of death were as follows: premature birth / LBW, congenital heart disease, drowning, birth defects and accidental suffocation. Conclusion Reducing infant mortality, especially neonatal mortality, is the key to controlling the mortality rate of children under five years of age. The quality of perinatal and neonatal health care needs to be strengthened. Apnea resuscitation techniques should be actively promoted to increase the level of prenatal diagnosis. Prenatal At the time of delivery, postnatal care was the three key links in reducing the under-five mortality rate. At the same time, it is necessary to strengthen the safety education and supervision of young children and the construction of a health care network.