摘要
目的了解苏州工业园区2011年—2020年5岁以下儿童死亡率(U5MR)变化趋势及其流行病学特征,为制定妇幼卫生政策提供参考依据。方法收集2011年—2020年园区各级医疗机构上报的5岁以下儿童死亡个案,采用SAS 9.4软件对资料进行统计描述和统计推断。结果U5MR、新生儿(<28 d)死亡率(NMR)、婴儿(<1岁)死亡率(IMR)和1~4岁儿童死亡率分别为2.82‰、1.51‰、2.18‰、0.64‰;U5MR(χ^(2)趋势=0.24,P>0.05)变化较小,1~4岁儿童死亡率逐年呈缓慢下降趋势(χ^(2)趋势=7.41,P=0.0065);新生儿、婴儿(28 d~1岁)、1~4岁儿童死亡占比分别为53.50%、23.89%、22.61%;5岁以下儿童主要死因前三位:早产或低出生体重(16.24%)、先天性心脏病(11.78%)、意外窒息(7.96%)。结论园区5岁以下儿童死亡率控制在一个较低水平范围内;通过继续提升辖区内各医疗卫生机构产/儿科水平、完善妇幼保健服务网络、加强孕期及围产期保健管理、继续规范实施出生缺陷三级预防工作等手段对早产儿或低出生体重儿和先天性心脏病予以重点干预。
Objective To investigate the trends and epidemiological characteristics of children aged under 5 years mortality rate(U5MR)in Suzhou Industrial Park from 2011 to 2020,so as to provide evidence for formulating maternal and child health policies.Methods The death cases of children under 5 years old in Suzhou Industrial Park from 2011 to 2020 reported by all medical institutions were collected.The SAS 9.4 software was utilized to carry out statistical description and statistical inference of data.Results The U5MR,neonatal(<28 d)mortality rate(NMR),infant(<1 yr)mortality rate(IMR),and children aged 1-4 years mortality rate in Suzhou Industrial Park were 2.82‰,1.51‰,2.18‰,and 0.64‰respectively.The U5MR changed little(Trendχ^(2)test=0.24,P>0.05),and children aged 1-4 years mortality rate showed a slowly downward trend(Trendχ^(2)test=7.41,P=0.0065).The newborns,infants(28 d-1 yr),children aged 1-4 accounted for 53.50%,23.89%,and 22.61%respectively.The top three main death causes of children aged under 5 were:premature birth or low birth weight(16.24%),congenital heart disease(11.78%),and accidental asphyxia(7.96%).Conclusion The U5MR in Suzhou Industrial Park was controlled within a relatively low range.The urgent intervention measures should be given to premature birth or low birth weight and congenital heart disease by improving the obstetrics/pediatrics level of medical institutions in Suzhou Industrial Park,perfecting the maternal and child health care service network,strengthening the gestational and perinatal health care management,and continuing to implement tertiary prevention of birth defects.
作者
孙雨玥
王丹丹
树明华
周慧
陈小芳
吴蕾
SUN Yu-yue;WANG Dan-dan;SHU Ming-hua;ZHOU Hui;CHEN Xiao-fang;WU Lei(Suzhou Industrial Park Centers for Disease Control and Prevention,Suzhou,Jiangsu,215021,China;School of Public Health,Soochow University,Suzhou,Jiangsu,215021,China)
出处
《中国血液流变学杂志》
CAS
2024年第2期284-289,共6页
Chinese Journal of Hemorheology
基金
苏州市科技发展计划(医学应用基础研究)项目(SKY2023036)
姑苏卫生人才培养项目(GSWS2021066)。
关键词
5岁以下儿童
死亡率
死因
children aged under 5
mortality rate
cause of death
