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目的:分析太原市杏花岭区疾病监测点2005~2010年5岁以下儿童主要死亡原因,为5岁以下儿童疾病防治提供科学依据。方法:对太原市杏花岭区疾病监测点5岁以下死亡儿童进行性别、年龄及死因顺位等流行病学描述,同时分析7天以内新生儿、新生儿、婴儿及5岁以下儿童的前5位死因顺位及构成。结果:2005~2010年各年份5岁以下儿童死亡的主要原因为肺炎、先天性心脏病、脑部疾病、先天畸形、新生儿呼吸窘迫综合征和新生儿吸入综合征。2005~2010年5岁以下儿童前5位死因顺位分别为肺炎、先天性心脏病、先天畸形、脑部疾病和新生儿呼吸窘迫综合征,构成比分别为26.2%、11.8%、6.0%、5.9%和5.3%。男性死因顺位前5位分别为肺炎、先天性心脏病、脑部疾病、新生儿呼吸窘迫综合征和先天畸形,构成比分别为26.2%、10.2%、7.2%、6.3%和5.9%;女性前5位死因顺位分别为肺炎、先天性心脏病、先天畸形、新生儿呼吸窘迫综合征和脑部疾病,构成比分别为26.6%、14.7%、6.2%、3.8%和3.8%。结论:肺炎和先天性心脏病是太原市杏花岭区疾病监测点5岁以下儿童的主要死亡原因。因此,加强肺炎和先天性心脏病的预防和治疗可以降低5岁以下儿童死亡率。
OBJECTIVE: To analyze the main causes of death among children under 5 years of age from 2005 to 2010 at the disease monitoring point in Xinghualing District of Taiyuan City, and provide scientific evidences for prevention and control of diseases in children under 5 years old. Methods: Epidemiological description of sex, age and cause of death among children under 5 years old in Xinghualing district of Taiyuan was conducted. The epidemiological characteristics of newborns, newborns, infants and children under 5 years of age within 7 days were also analyzed. The 5th cause of death rank and composition. Results: The main causes of death among children under 5 years of age from 2005 to 2010 were pneumonia, congenital heart disease, brain diseases, congenital malformations, neonatal respiratory distress syndrome and neonatal aspiration syndrome. The top five causes of death among children under 5 years of age from 2005 to 2010 were pneumonia, congenital heart disease, congenital malformations, brain diseases and neonatal respiratory distress syndrome, with the constituent ratios of 26.2%, 11.8%, 6.0% 5.9% and 5.3%. The top five causes of death among men were pneumonia, congenital heart disease, brain disease, neonatal respiratory distress syndrome and congenital malformation, with the constituent ratios of 26.2%, 10.2%, 7.2%, 6.3% and 5.9% The top five causes of death were pneumonia, congenital heart disease, congenital malformations, neonatal respiratory distress syndrome and brain diseases, the constituent ratios were 26.6%, 14.7%, 6.2%, 3.8% and 3.8% respectively. Conclusion: Pneumonia and congenital heart disease are the main causes of death in children under 5 years of age in the Xinghualing district of Taiyuan City. Therefore, strengthening the prevention and treatment of pneumonia and congenital heart disease can reduce the mortality rate of children under 5 years of age.