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目的:掌握射阳县5岁以下儿童死亡的动态变化,探讨干预措施,降低5岁以下儿童死亡率。方法:对2000～2006年我县5岁以下儿童死亡监测资料进行分析。结果:5岁以下儿童死亡率呈逐年下降趋势,前5位死因依次为:意外、出生窒息、早产、先天性心脏病和肺炎。结论:降低婴儿死亡率,特别是新生儿死亡率,是控制5岁以下儿童死亡率的关键,需加强围产期和新生儿保健质量,积极推广窒息复苏技术,提高先天畸形的早期诊断水平,加强安全教育和医疗保健服务网络建设,使意外事故及危重病例及时获得救治。
Objective: To master the dynamic changes of deaths among children under 5 in Sheyang County, and to explore intervention measures to reduce the mortality rate of children under 5 years of age. Methods: The mortality monitoring data of children under 5 years old in our county from 2000 to 2006 were analyzed. Results: The mortality rate of children under 5 showed a declining trend year by year. The top five causes of death were accidents, birth asphyxia, premature birth, congenital heart disease and pneumonia. Conclusion: To reduce the infant mortality rate, especially the neonatal mortality rate, is the key to controlling the mortality rate of children under 5 years old. It is necessary to strengthen the quality of perinatal and neonatal health care, actively promote apnea resuscitation techniques and improve the early diagnosis of congenital malformations, Strengthen safety education and health care service network so that accidents and critical cases can be treated promptly.