摘要
目的：分析2008年至2015年成都市5岁以下户籍儿童死亡率变化趋势及死亡原因。方法从成都市5岁以下儿童死亡监测网收集2008-2015年监测资料，分析新生儿死亡率（ NMR）、婴儿死亡率（ IMR）、5岁以下儿童死亡率（U5MR）、死亡年龄构成比及主要死亡原因。结果成都市NMR、IMR、U5MR三率2015年与2008年比较显著下降，差异有统计学意义（P〈0．05），农村降幅大于城市。5岁以下儿童死亡以婴儿为主，占72．41%。早产低出生体质量、先天性心脏病、出生窒息、肺炎、其他先天异常、意外伤害是5岁以下儿童的主要死亡原因。结论实现卫生服务资源的合理导向与配置，提高孕产妇及儿童医疗保健服务质量，加强高危孕妇和高危儿管理，提高产、儿科协作及危重患儿抢救技能，加强出生缺陷监测，防范儿童意外发生，是降低5岁以下儿童死亡的重要措施。
Objective To analyze the change trends and causes of death in children under 5 years old in Chengdu city from 2008 to 2015. Methods We collected the monitoring data of children under five years old in Chengdu City between 2008 and 2015from the death monitoring network, and analyzed the neonatal mortality rate （NMR）, infant mortality rate （IMR）, under 5 years old of children mortality （U5MR）, age at death constituent ratio and the main causes of death. Results Compared with 2008, the IMR, U5MR, NMR of Chengdu City in 2015 were significantly decreased （P〈0. 05）, and the decline trend in rural areas was bigger than in the city. The death of children under the age of 5 years was mainly infants, accounting for 72. 41%. Pre-term birth with low birth weight, congenital heart disease, birth asphyxia, pneumonia, and other congenital abnormalities, accidental injury were the main causes of death in children under 5 years old. Conclusion To achieve reasonable orientation and configuration of health service resources, to improve maternal and children health care service quality, to strengthen the high-risk pregnant women and the management of high risk infants, to improve the yield, pediatric cooperative and critically ill children rescue skills, to strengthen the birth defects monitoring, and to prevent the occurrence of accidents are important measures to reduce death in children under 5 years old.
出处
《四川医学》
CAS
2016年第8期882-884,共3页
Sichuan Medical Journal
关键词
5岁以下儿童
死亡率
死亡原因
children under 5 years old
mortality
cause of death
