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本文采用分层整群抽样,运用单因素、逐步回归和条件Logistic回归分析方法,对麻城市农村114例5岁以下儿童意外死亡情况进行了分析。结果表明,5岁以下儿童的意外死亡率为33.46/10万。意外机械性窒息为第一位死因(占意外死亡的57.90％),溺水为第二位死因(35.10％)。意外机械性窒息的主要危险因素有:蒙头睡眠,无专人看管,夜间在被子里吃奶,阴或雨雪天气,母亲文化程度低,居室空气流通差等,夜间20～24时为窒息易发时间。溺水的主要危险因素有:居住地离水源较近且无保护带,无专人看管,居住地离医疗机构路程远,家庭子女数多以及居住地改变等。
In this paper, stratified cluster sampling, using single factor, stepwise regression and conditional Logistic regression analysis of accidental death of 114 cases of children under 5 years of age in rural areas of Macheng City were analyzed. The results showed that the accidental death rate of children under 5 years of age was 33.46 / 100,000. Accidental mechanical asphyxia was the leading cause of death (57.90% of accidental deaths) and drowning was the second cause of death (35.10%). Accidental mechanical asphyxia the main risk factors are: Mengtou sleep, no special care, night quilt in the quilt, overcast or rain and snow, low level of mother’s education, poor room air circulation, night 20 to 24 for suffocation Send time. The main risk factors of drowning are: living close to the water source and no protective zone, no special caretaker, far away from the medical institutions living distance, the number of children in the family and change of residence.