珠海市2008至2013年5岁以下儿童死亡率和死亡原因分析  

Analysis of Under-5-Mortality Rate and Cause of Death in Zhuhai From 2008 to 2013

作　　者：赵慧贞[1] 滕勇勇 戚小兵[1] 程黎[1] 

机构地区：[1]珠海市妇幼保健院,广东珠海519000 [2]珠海市慢性病防治中心,广东珠海519000

出　　处：《临床医学工程》2015年第2期242-244,共3页Clinical Medicine & Engineering

摘　　要：目的了解珠海市2008至2013年5岁以下儿童死亡率,分析死亡原因及变化趋势,为卫生行政部门制定合理、有效的干预措施提供科学依据。方法利用妇幼保健三级网络,按照国际疾病分类法(ICD-10)对珠海市2008至2013年5岁以下死亡儿童监测资料进行统计分析。结果珠海市2008至2013年5岁以下儿童死亡率为4.49‰,与年份呈负相关,总体呈下降趋势(P<0.05);6年间5岁以下儿童死亡地点、死亡前治疗、死因诊断依据等方面无显著差异(P>0.05);5岁以下儿童死亡的主要死因顺位是早产和低出生体重、肺炎、出生窒息、先天性心脏病,其它先天异常。结论加强孕产妇和儿童保健,尤其是围产保健,做好出生缺陷的三级预防,提高产前诊断技术,是降低5岁以下儿童死亡率重要措施。Objective To understand the under-5-mortality rate, the cause of death and variation trend in Zhuhai from 2008 to 2013,in order to provide scientific basis for health administrative departments to formulate reasonable and effective intervention measures.Methods According to the International Classification of Diseases-10（ICD-10） and the three level network of maternal and children health care, the surveillance data of dead children under 5 years old in Zhuhai from 2008 to 2013 were statistically analyzed. Results The under-5-mortality rate in Zhuhai from 2008 to 2013 was 4.49‰, which negatively correlated with the years and showed a downward trend（P0.05）; the place of death, the treatment before the death and diagnostic evidence for the cause of death in 6 years had no statistical difference（P 0.05）; the major cause of death in children under 5 years old was premature delivery, low birth weight, pneumonia, birth asphyxia, congenital heart disease and other congenital abnormalities. Conclusions The improvement of prenatal diagnostic techniques,maternal and child health care（particularly perinatal care） and the three-step-prevention of birth defect are important measures for decreasing the under-5-mortality rate.

关 键 词：5岁以下儿童 死亡率 死亡原因 

分 类 号：R174[医药卫生—妇幼卫生保健]