某三甲医院2007-2015年5岁以下儿童死因分析  

Analysis on causes of death among children under 5 years old in a class 3A hospital during 2007-2015

作　　者：朱建军[1] 刘容珍[1] 石慧[1] 何俊[1] 赵丽[1] 

机构地区：[1]四川省宜宾市第二人民医院预防保健科,644000

出　　处：《重庆医学》2017年第22期3114-3116,共3页Chongqing medicine

摘　　要：目的调查分析该院2007-2015年5岁以下儿童死亡情况,为制订相应的干预措施,降低儿童病死率提供依据。方法对2007-2015年在该院死亡的5岁以下儿童的死亡病案资料进行回顾性分析。结果 2007-2015年5岁以下儿童病死率呈逐年下降趋势,各年度病死率、男女病死率(1.90%和0.99%)、农村与非农村户籍病死率(3.44%和2.02%)比较,差异有统计学意义(P<0.05);新生儿病死率最高(50.45%);死因顺位前5位分别是:早产或低出生体质量、呼吸系统疾病、神经系统疾病、先天性疾病和意外事故。结论降低儿童病死率关键是加强围生期保健、加强孕前、孕期的各种检查,防止呼吸系统疾病的发生,重视各种因素对儿童健康的影响,重视意外伤害的防治。Objective To investigate and analyze the death situation of children aged under 5 year old in a class 3A hospital during 2007--2015 to provide a basis for formulating corresponding interventional measures to reduce the disease mortality of ehib dren. Methods The medical records of children death in this hospital during 2007- 2015 were retrospectively analyzed. Results The mortality rate of children under 5 years old in this hospital during 2007--2015 showed a decreasing trend year by year. There was the statistically significant difference in the mortality rates among different years, between male and female （3.58 vs. 2.10%） and between rural family registers and non-rural family registers（P〈0.05）the neonatal mortality rate was highest （50.45%） ;the top 5 places of death causes were premature delivery or low birth weight newborns, respiratory system diseases, nervous system diseases, congenital diseases and accidents. Conclusion The key for reducing the children mortality rate is to strengthen the perinatal health care, strengthen prenatal examinations and pregnant examinations, prevent the occurrence of respiratory system disease,pay attention to the influence of various factors on children health and prevention and treatment of accidents.

关 键 词：死亡原因 儿童 数据收集 5岁以下 

分 类 号：R179[医药卫生—妇幼卫生保健]