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目的:掌握深圳市龙岗区婴儿死亡率变化趋势及其影响因素,为制定防控策略提供参考依据。方法:利用深圳市龙岗区5岁以下儿童死亡监测网络,对2006-2015年深圳市龙岗区范围内的婴儿死亡数据进行回顾性分析。结果:2006-2015年龙岗区婴儿死亡率、新生儿死亡率分别为3.63‰(1 408/388 181)、2.42‰(941/388 181),早期新生儿死亡占全部新生儿死亡的83.42%。2015年婴儿死亡率、新生儿死亡率在2006年的基础上下降幅度分别为69.48%、81.88%,10年内呈逐渐降低的趋势(P<0.05)。早产或低出生体重、出生窒息位于死因顺位的前2位,10年来先天性心脏病死因构成比呈逐年上升的趋势。结论:加强围产保健管理,规范高危妊娠的监测和三级转诊,提高新生儿复苏水平,提高新生儿疾病救治水平,是降低婴儿死亡的重要措施。
Objective: To grasp the trend of infant mortality and its influencing factors in Longgang District of Shenzhen City, and provide reference for formulating prevention and control strategies. Methods: Based on the death monitoring network for children under 5 years of age in Longgang District, Shenzhen, a retrospective analysis was conducted on infant mortality data in Longgang District of Shenzhen City from 2006 to 2015. Results: The infant mortality rate and neonatal mortality rate in Longgang District were 3.63 ‰ (1 408/388 181) and 2.42 ‰ (941/388 181) respectively in 2006-2015. The proportion of early neonatal deaths accounted for 83.42% of all neonatal deaths. In 2015, the infant mortality rate and neonatal mortality rate dropped by 69.48% and 81.88% respectively on a year-on-year basis in 2006, showing a gradual decreasing trend in 10 years (P <0.05). Premature or low birth weight, birth asphyxia in the first two places of the cause of death rank, 10-year congenital heart disease causes the proportion was rising year by year. Conclusion: It is an important measure to reduce perinatal mortality by strengthening the management of perinatal care, regulating the monitoring and tertiary referral of high-risk pregnancies, improving the level of neonatal resuscitation, and improving the treatment of neonatal diseases.