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目的:掌握阆中市5岁以下儿童死亡率及主要死因,探讨干预措施,为决策部门提供依据。方法:对2000～2006年5岁以下儿童死亡资料进行分析。结果:5岁以下儿童死亡率呈下降趋势,肺炎、出生窒息、溺水、意外死亡、早产低体重儿及先天性心脏病是死因的前几位。结论:降低5岁以下儿童死亡率,要做好围产期保健工作,提高产科质量,加强对小儿呼吸道疾病的标准病案管理,预防新生儿窒息,提高复苏技术,增强目标人群的健康教育意识,杜绝可避免发生的意外死亡。
Objective: To master the death rate and the main causes of death of children under 5 years old in Langzhong city, discuss the intervention measures and provide the basis for the decision-making department. Methods: The death data of children under 5 years old from 2000 to 2006 were analyzed. Results: Mortality rates of children under 5 showed a decreasing trend. Pneumonia, birth asphyxia, drowning, accidental death, preterm low birth weight infants and congenital heart disease were the leading causes of death. CONCLUSIONS: To reduce the mortality rate of children under 5 years of age, we should do a good job in perinatal care, improve the quality of obstetrics, strengthen the standard case management of pediatric respiratory diseases, prevent neonatal asphyxia, improve the resuscitation skills and enhance the awareness of health education among target groups. Prevent accidental death that can be avoided.