三门峡市2004～2013年5岁以下儿童生命监测结果分析

目的：分析河南省三门峡市2004～2013年5岁以下儿童死亡率、原因及发展趋势，提出干预措施。方法对2004～2013年死亡的1295例5岁以下儿童资料进行回顾性分析。结果5岁以下儿童死亡率从2004年的11．81‰下降到2013年5．26‰，各年度儿童死亡率呈下降趋势。2004～2013年新生儿死亡数占婴儿死亡数的78．65％～65．96％，婴儿死亡数占5岁以下儿童死亡数的90．82％～78．43％，1～4岁儿童死亡数占5岁以下儿童死亡数的9．20％～21．67％。结论早产或低出生体质量、出生窒息和肺炎是导致5岁以下儿童死亡的主要原因。巩固健全妇幼保健三级网络、加强围产期保健、提高产科技术水平、提高危重患者急救能力、普及妇幼保健知识等是降低5岁以下儿童死亡率的关键。

Analysis on Life Monitoring Result in Children under the Age of Five in Sanmenxia City in 2004~2013

Objective To analyse the mortality,death causes and trends to children under five years old of Sanmenxia city between the years of 2004 ~201 3 ,proposed interventions; Methods The data of 1 295 death children under the age of five during 2004-201 3 year were retrospectively analyzed. Results Child mortality rates decreased from 1 1 .81‰ in 2004 to 5 .26‰ in 201 3 ,child mortality was downward trend for each year.neonatal deaths accounted for 78.65 ~65.96% of infant mortality,infant mortality accounted for 90.82%~78.43% of children under five mortality and 1 to 4 years old child deaths accounted for 9.20% ~21 .67% of children under 5 years old. Conclusion The leading cause of death in children under five years of age is premature or low birth weight and birth asphyxia and pneumonia.Consolidate and improve maternal and child health three-level network and strengthening the perinatal health care,improving the level of obstetric skills and enhance the ability to critically ill patients with emergency,popularize the knowledge of maternal and child health is the key to reducing the mortality rate of maternal and children under the age of five.