2005～2010年兰州市城关区5岁以下儿童死因分析

目的:分析兰州市城关区2005～2010年5岁以下儿童死亡情况及主要死亡原因,为降低兰州市5岁以下儿童死亡率提供依据。方法:按照《中国5岁以下儿童死亡监测方案》,对2005～2010年兰州市城关区447例5岁以下儿童死亡情况进行分析。结果:2005年～2010年兰州市城关区活产数为55 868例,新生儿死亡356例,婴儿死亡408例,5岁以下儿童死亡447例,死亡率分别为6.37‰、7.30‰、8.00‰。5岁以下儿童死亡率呈下降趋势,死亡率最高和最低的年份分别为2007年和2010年。兰州市城关区5岁以下儿童死因顺位前三位依次是新生儿窒息、早产(低出生体重)、其他新生儿疾病。结论:城关区5岁以下儿童死亡仍以新生儿和婴儿死亡为主,积极做好孕期和儿童保健宣传工作,提高保健意识及质量,是降低新生儿和婴儿死亡率,最终减少5岁以下儿童死亡率的关键。

Analysis on death causes of children under 5 years old in Chengguan district of Lanzhou city from 2005 to 2010

Objective:To analyze the death status and main death causes of children under five years old in Chengguan district of Lanzhou city from 2005 to 2010,and provide a basis for reducing mortality of children under five years old.Methods:According to China death monitoring program of children under five years,the death status of 447 children under five years old in Chengguan district of Lanzhou city from 2005 to 2010 was analyzed.Results:The number of live neonates in Chengguan district of Lanzhou city from 2005 to 2010 was 55 828,the number of neonatal death was 356,teh number of infantile death was 408,the number of children death under five years old was 447,the mortalities were 6.37‰,7.30‰,and 8.00‰,respectively.The mortality of children under five years old showed a decreasing trend,the mortality in 2007 was the highest,and the mortality in 2010 was the lowest.The top three causes of children death under five years old were neonatal asphyxia,premature birth(low birth weight),and other neonatal diseases.Conclusion:Neonates and infants take the main part of children death in Chengguan district;conducting gestational health care and child health care publicity actively,improving health awareness and quality are ky points to reduce mortalities of neonates and,infants,children under five years old.