济宁市2007－2016年5岁以下儿童死亡分析

目的 了解济宁市5岁以下儿童死亡率及主要死亡原因,为完善儿童保健工作,降低5岁以下儿童死亡率提供科学依据。 方法 利用济宁市2007－2016年5岁以下儿童死亡报告卡,对死亡率、死亡原因和死亡地点进行分析,并评估潜在减寿年数和早死指数。 结果 济宁市2007－2016年5岁以下儿童死亡4 930人,死亡率为4.58‰。5岁以下儿童死亡主要以新生儿为主,所占比例为54.81%。济宁市2007－2016年5岁以下儿童死因主要包括出生窒息、早产或低出生体重、新生儿吸入、先天性心脏病、肺炎和意外等因素。 结论 提高儿科医疗服务水平和妇幼保健工作质量,加强新生儿窒息复苏培训,预防出生缺陷和意外死亡是降低5岁以下儿童死亡率的有力措施

Analysis of deaths among children under 5 years old in Jining city, 2007-2016

Objective To investigate the mortality rate and main causes of deaths in children under 5 years old in Jining city, and to provide a scientific basis for perfecting the child health work and reducing the mortality rate of children under 5 years old. Methods We analyzed the mortality rate, causes of deaths and places of deaths based on death report cards of children under 5 years old in Jining city in 2007-2016, and then assessed the potential years of life lost and the early death index. Results A total of 4,930 children under 5 years old died in Jining city from 2007 to 2016, with a mortality rate of 4.58‰. Neonates accounted for 54.81% of all deaths among children under 5 years old. The causes of deaths in the children under 5 years old mainly included birth asphyxia, premature birth or low birth weight, neonatal inhalation, congenital heart disease, pneumonia and accidents. Conclusions Improving the level of paediatric medical services and the quality of maternal and child health care, strengthening the training of neonatal asphyxia resuscitation skill, preventing birth defects and reducing accidental deaths are efficient measures to decrease the mortality rate of children under 5 years old