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【目的】了解2001-2010年北京市5岁以下儿童先天异常死亡的变化趋势。【方法】采用北京市儿童生命监测网收集的数据,计算出5岁以下儿童先天异常死亡专率、构成比和年龄分布情况。【结果】1)北京市5岁以下儿童先天异常死亡专率由2001年的227.1/105下降至2010年的97.1/105;2)北京市城市先天心脏病、神经管畸形、先天愚型均显著下降;农村神经管畸形、先天愚型下降不显著;3)先天异常死亡占5岁以下儿童死亡的比例由2001年的29.2%下降至2010年的23.1%;4)5岁以下儿童先天异常死亡主要发生在婴儿期,尤其是新生儿期。【结论】北京市先天发育异常儿童死亡已经成为5岁以下儿童主要死因,需进一步加强农村地区相关疾病的预防水平。
【Objective】 To understand the trend of congenital anomalous death in children under 5 years old in Beijing from 2001 to 2010. 【Method】 The data collected by Beijing Children’s Life Monitoring Network were used to calculate the specific rate, composition ratio and age distribution of congenital abnormal deaths in children under 5 years of age. 【Results】 1) The rate of congenital anomalous death in children under 5 years old in Beijing dropped from 227.1 / 105 in 2001 to 97.1 / 105 in 2010; 2) In Beijing, the congenital heart disease, neural tube defects and Down’s syndrome were all significant Decline in rural neural tube defects, Down’s syndrome is not significant; 3) the proportion of congenital anomalies deaths under 5 years of age dropped from 29.2% in 2001 to 23.1% in 2010; 4) congenital abnormal deaths in children under 5 years of age Mainly occurs in infancy, especially in neonatal period. 【Conclusion】 The death of children with congenital abnormalities in Beijing has become the leading cause of death among children under 5 years old. It is necessary to further strengthen the prevention of related diseases in rural areas.