2003年至2011年蚌埠市5岁以下儿童死亡率及死亡原因分析  

Analysis on cause of death of children under 5 years old in Bengbu city from 2003 to 2011

作　　者：董素华[1] 

机构地区：[1]蚌埠市妇幼保健院儿童保健科,233000

出　　处：《安徽医学》2013年第8期1233-1236,共4页Anhui Medical Journal

摘　　要：目的分析蚌埠市5岁以下儿童死亡变化趋势和死亡原因，探讨降低5岁以下儿童死亡的干预措施。方法对2003～2011年5岁以下儿童死亡报告卡进行统计分析。结果5岁以下儿童死亡率10．33‰，新生儿死亡率7．17‰，婴儿死亡率9．04‰，其中，新生儿死亡占婴儿死亡79．34％，占5岁以下儿童死亡69．47％，婴儿死亡占5岁以下儿童死亡87．56％。2003年分别与2004年、2005年、2009年、2010年比较，差异有统计学意义（P〈0．05）。5岁以下儿童死因排在前3位为早产及低出生体重、出生窒息和肺炎。结论提高各级医疗保健机构专业人员对新生儿疾病的诊断和急救水平，降低5岁以下儿童死亡率关键是降低婴儿死亡率，特别是降低新生儿死亡率。Objective To analyze the dynamic change trend and main causes of death of children under five years old and explore the interventional measures in order to reduce mortality of children under 5 years old. Methods The death reports of children under 5 years old from 2003 to 2011 were analyzed statistically. Results The mortality of children under 5 was 10.33‰, the neonatal mortality was 7. 17‰, and the infantile mortality was 9.04‰. The neonatal death accounted for 79.34% of infant death, and 69.47% of children under 5 years old death. Infant death accounted for 87.56% of deaths in children under 5 years old. When the data of 2003 were compared with those of 2004, 2005, 2009 and 2010, the difference was statistically significant（P 〈0.01 ,P 〈0.05）. The top 3 causes of children death under 5 years old were preterm delivery plus low birth weight, birth asphyxia, and pneumonia. Conclusion Improving the diagnosis and treatment level of neonatal health care institutions at all levels of professionals and reducing the mortality of children under 5 years old are the key to reduce infant mortality, especially the neonatal mortality rate.

关 键 词：儿童 5岁以下 死亡率 死亡原因 

分 类 号：R179[医药卫生—妇幼卫生保健]