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目的:为了解杭州市拱墅区5岁以下儿童死亡情况及死因变化,分析其原因,制定合理、有效的干预措施。方法:对杭州市拱墅区2004~2006年5岁以下儿童死亡报告情况进行监测分析。结果:3年来该区5岁以下儿童死亡率呈逐年下降的趋势,新生儿死亡率呈逐年上升的趋势,婴儿死亡率3年间变化不大;前5位死因主要为意外死亡、先天异常、早产、出生窒息、肺炎。结论:杭州市拱墅区5岁以下儿童死亡率已逐渐接近上海等发达城市。今后工作的重点应预防5岁以下儿童意外死亡的发生并控制先天畸形和早产的发生率,加强流动人口的管理。
Objective: To understand the death and cause of death of children under 5 years of age in Gongshu District of Hangzhou City, analyze the causes and make reasonable and effective interventions. Methods: The monitoring report on the death of children under 5 years of age from 2004 to 2006 in Gongshu District of Hangzhou City was conducted. Results: The mortality rate of children under 5 years showed a decreasing trend year by year in the past three years. The neonatal mortality rate showed an upward trend year by year. Infant mortality rate did not change much in three years. The top five causes of death were accidental death, congenital anomalies, premature birth Birth asphyxia, pneumonia. Conclusion: The mortality rate of children under 5 in Gongshu District of Hangzhou City has gradually approached to other developed cities such as Shanghai. Future work should focus on preventing accidental deaths among children under 5 years of age and controlling the incidence of congenital malformations and premature births and strengthening the management of floating population.