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目的了解珠海市儿童伤害死亡情况,为伤害干预提供科学依据。方法数据来源于珠海市所辖城市(香洲区)和农村(斗门区和金湾区)3个行政区域范围内的死因监测系统。采用ICD-10死因分类分析2005—2009年珠海市1～14岁儿童伤害死亡率及死亡原因。结果 2005—2009年间,珠海市人群死因监测系统(3个区)共报告1～14岁户籍儿童伤害死亡案例78例,5年平均死亡率10.24/10万,标化死亡率10.06/10万,5年的死亡率分别为15.47/10万(24/155 171)、10.40/10万(16/153 780)、8.61/10万(13/151 025)、8.66/10万(13/150 183)、7.92/10万(12/151 438);男性标化死亡率10.58/10万,女性标化死亡率9.43/10万;伤害死亡占1～14岁儿童总死因的构成比为36.62%(78/213);前5位伤害死因分别为淹死、机动车辆交通事故、机动车以外的运输事故、意外中毒、被杀,各占52.56%、20.51%、5.13%、3.85%、3.85%。香洲、金湾、斗门儿童标化平均伤害死亡率分别为5.82/10万、12.25/10万、16.81/10万,农村高于城市(P<0.05)。结论伤害死亡是珠海市1～14儿童的首位死亡原因,应针对淹溺和道路交通事故伤害等多发事故,对家长进行安全教育以预防伤害的发生。
Objective To understand the situation of child injury and death in Zhuhai and provide a scientific basis for injury intervention. Methods Data were collected from the system of cause-of-death monitoring within the three administrative regions of Zhuhai City (Xiangzhou District) and rural areas (Doumen District and Jinwan District). The cause of death and mortality of children aged from 1 to 14 in Zhuhai from 2005 to 2009 were analyzed by ICD-10 cause of death. Results During 2005-2009, a total of 78 cases of deaths of children aged from 1 to 14 were reported. The 5-year average mortality rate was 10.24 / lakh and the standardized mortality rate was 10.06 / lakh. The five-year mortality rates were 15.47 / 100,000 (24/155 171), 10.40 / 100,000 (16/153 780), 8.61 / 100,000 (13/151 025) and 8.66 / 100,000 (13/150 183) respectively. , 7.92 / 100,000 (12/151 438). The standardized death rate for males was 10.58 / lakh and the standardized mortality rate for females was 9.43 / lakh. The proportion of total deaths from injury to death for children aged 1-14 was 36.62% (78 / 213). The first five causes of death were drowning, motor vehicle accidents and motor vehicle accidents. They were accidentally poisoned and killed, accounting for 52.56%, 20.51%, 5.13%, 3.85% and 3.85% respectively. In Xiangzhou, Jinwan and Doumen children, the average mortality rates were 5.82 / lakh, 12.25 / lakh and 16.81 / lakh respectively, higher in rural areas than in urban areas (P <0.05). Conclusion Injury and death are the first cause of death among children aged from 1 to 14 in Zhuhai. Safety education should be given to parents to prevent accidents such as drowning and road traffic accidents.