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目的:掌握全市5岁以下儿童死亡变化趋势及主要死亡原因,研究及探讨干预措施。方法:对2004~2008年5岁以下儿童死亡结果进行分析。结果:5岁以下儿童死亡率逐年下降,2004年为8.79‰,2008年为5.58‰,主要死因依次为肺炎、出生窒息、新生儿脑病、早产或低体重、出生缺陷。结论:降低5岁以下儿童死亡率,首先要不断加强对县级以下卫生技术人员的适宜技术培训,提高危重症的识别和急救能力,加强基层产、儿科质量管理,开展孕产妇、儿童系统管理工作,切实加大健康教育宣传力度,提高育龄妇女自我保健意识,主动接受卫生保健服务。
OBJECTIVE: To grasp the trends of death and major causes of death in children under 5 in the city, and to study and explore intervention measures. Methods: The death results of children under 5 years of age from 2004 to 2008 were analyzed. Results: The mortality rate of children under 5 years of age decreased year by year, from 8.979 in 2004 to 5.58 in 2008. The main causes of death were pneumonia, birth asphyxia, neonatal encephalopathy, premature birth or low birth weight, and birth defects. Conclusion: To reduce the mortality rate of children under 5 years of age, we must first step up the training of suitable technical personnel for health technicians under the county level, improve the ability of identifying and first aid for critically ill patients, strengthen the quality control of primary births and pediatrics, carry out maternal and child system management Work, earnestly increase publicity of health education, raise awareness of women of childbearing age self-care, take the initiative to receive health care services.