2011—2015 年安康市汉滨区5 岁以下儿童死亡情况分析

卜莉1 ，罗静2

（1.安康市汉滨区妇幼保健院基层保健科，陕西 安康，725000；2.陕西省安康市汉滨区第二医院，陕西 安康，725021）

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摘要：

目的 了解汉滨区2011—2015 年5 岁以下儿童死亡的主要原因，提出干预措施。方法 对全区2011—2015 年5 岁以下儿童死亡信息进行对比分析。结果 2011—2015 年，汉滨区5 岁以下儿童病死率呈逐年下降趋势，儿童死亡率由2011 年的 5.1%下降到2015 年的1.1%。新生儿及婴儿死亡的主要原因为出生窒息、肺炎、早产；1～4 岁儿童死亡的主要原因为意外伤 害、肺炎。死前就医率70.2%，就医途中死亡率为6.0%。结论 降低5 岁以下儿童病死率应做好孕前、围产期的保健、普及科学育儿知识，提高产科服务质量，其中预防出生窒息、肺炎、早产是今后的工作重点。

关键词：5 岁以下儿童；死亡；干预措施

中图分类号：R174 文献标志码：A文章编号：2096-1413(2017)28-0097-02

Analysis of the death of children under 5 years old from 2011 to 2015 in Hanbin district of Ankang
BU Li 1, LUO Jing 2
(1. Department of Primary Health Care, Maternal and Child Health Hospital of Hanbin District, Ankang 725000; 2. the Second Hospital of Hanbin District, Ankang 725021, China)


ABSTRACT: Objective To analyze the main causes of the death children under 5 years old in Hanbin district, and to propose interventions. Methods The death information of children under 5 years old from 2011 to 2015 in the whole area were compared and analyzed. Results The mortality of children under 5 years old in Hanbin district was decreased year by year from 2011 to 2015, the death rate of children dropped from 5.1% in 2011 to 1.1% in 2015. The main causes of neonatal and infant deaths were birth asphyxia, pneumonia and premature birth. The main cause of death in 1-4 year olds children were accidental injury and pneumonia. The rate of medical treatment before death was 70.2%, the mortality rate was 6.0% on the way to hospital. Conclusion To reduce the mortality rate of children under 5 years old, pre pregnancy and perinatal care should be well done and universal knowledge of child rearing should be popularized, and improving the quality of obstetric service. Prevention of birth asphyxia, pneumonia, premature delivery is the focus of the future work.
KEYWORDS: children under 5 years old; death; intervention measures

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