2011—2020年宁夏吴忠市盐池县5岁以下儿童死亡监测分析  

Analysis of under-5 death surveillance in Yanchi,Ningxia,2011-2020

作　　者：尤雁 文珍林 高登文 YOU Yan;WEN Zhen Lin;GAO Deng Wen(Yanchi County Maternal and Child Health and Family Planning Service Center,Wuzhong 751500,Ningxia Hui Autonomous Region,China;Yanchi County People’s Hospital,Wuzhong 751500,Ningxia Hui Autonomous Region,China)

机构地区：[1]盐池县妇幼保健计划生育服务中心,宁夏吴忠751500 [2]盐池县人民医院,宁夏吴忠751500

出　　处：《中国妇幼卫生杂志》2023年第2期12-15,共4页Chinese Journal of Women and Children Health

摘　　要：目的 了解2011—2020年宁夏吴忠市盐池县5岁以下儿童死亡变化趋势及相关影响因素,为制定干预措施提供依据。方法 回顾性选取全国妇幼健康监测信息系统中2011—2020年盐池县5岁以下死亡儿童作为研究对象,对其监测资料进行整理与汇总。对盐池县5岁以下儿童死亡率及死因情况等数据进行统计分析。结果 2011—2020年盐池县新生儿死亡率、婴儿死亡率及5岁以下儿童死亡率均呈下降趋势,分别由7.80‰、11.50‰、13.60‰降至0.00‰、0.62‰、2.47‰,且各年份间趋势变化有统计学意义(χ^(2)_(趋势)=12.228、18.269、21.170,均P <0.001)。早产或低出生体重、肺炎、出生窒息、意外死亡、先天性心脏病及其他先天异常是2011—2020年盐池县5岁以下儿童死亡的主要死因。结论 2011—2020年盐池县5岁以下儿童死亡率呈下降趋势,需进一步加强保健管理和健康教育宣传力度,提高医务人员专业技术水平,以更加有效地降低5岁以下儿童死亡率。Objective To investigate the trend of under-5 death and factors associated with it in Yanchi,Wuzhong,Ningxia Hui Autonomous region from 2011 to 2020,so as to provide evidence for formulating intervention measures.Methods Under-5 death children in Yanchi County 2011-2020 were recruited as study subjects retrospectively from the National Maternal and Child Health Monitoring Information System.Statistical analysis was conducted on Under-5 mortality rate and causes of death.Results The neonatal mortality rate,infant mortality rate and under 5 mortality rate showed a downward trend from 2011 to 2020,dropping from 7.80‰,11.50‰,and 13.60‰to 0.00‰,0.62‰,and 2.47‰,respectively,and the trends were statistically different between various years(χ^(2)_(trend)=12.228,18.269,21.170,all P<0.001).Premature delivery or low birth weight,pneumonia,birth asphyxia,accidental death,congenital heart disease and other congenital abnormalities were the main causes of death of children under 5 in Yanchi County from 2011 to 2020.Conclusion Under 5 mortality rate in Yanchi County shows a downward trend 2011-2020.Further strengthening health management,promoting health education,and improving health professionals’technical competence can effectively reduce under 5 mortality rate.

关 键 词：5岁以下儿童死亡监测 5岁以下儿童死亡率 死因 

分 类 号：R179[医药卫生—妇幼卫生保健]