福建省５岁以下儿童意外死亡５年监测分析

目的 了解５岁以下儿童意外死亡的动态变化规律和趋势。方法 对我省５岁以下儿童生命监测区１９９５年／１９９９年５a监测资料进行分析，结果 监测区５岁以下儿童意外死亡率５a上升５１.2％，５岁以下儿童意外死亡占总死亡比５a上升７.26%.城乡比较城市呈下降趋势，农村呈逐年上升趋势，年龄分组表现１岁－４岁组上升比其他组高，在主要死因分布上，０岁组意外窒息死亡占８６1%，１岁－岁儿童主要死于溺水、交通意外，季节分布上，意外窒息多发生于冬春季，溺水多发生于夏秋季，结论 ５岁以下儿童意外死亡率上升速度快，严重威胁儿童生存和健康，应尽快制定控制措施，针对不同年龄，不同季节，不同死因应有不同预防措施，农村是干预的重点地域，健康教育是最好的基本措施。

Monitoring And Analysis ofAccidental Death in Children under 5 Years Old in Fujian Province

Objective　To investigate the dynamic alteration and trend of the accidental death in children under 5 years old in Fujian Province.Methods　We analyzed the data of the accidental death in children under 5 years old from 1995 to 1999(5 years) in the monitoring areas in our province.Results　The accidental death in children under 5 years old increased 51.3% in 5 years in the monitoring areas.The ratio of accidental death to total death in children under 5 years old increased 7.26% with a more significant increase in the children aged 1～4 years;compared to city,the ratio tended to decrease in otskirt and increase in the rural area.The main causes of death in children aged less than one year were asphyxia(86.1%),aged more than one years were drown and traffic accident.Asphyxia predominantly happened in winter and spring,and drown mainly in summer and autumn.Conclusions　The accidental death increased significantly in children under 5 years old;the different measures pointed toward the different ages,seasons and causes have to be developed soon in order to control the accidental children death;intervention should be centered in rural area,and healthcard is the foundmental measure.