2011-2015年怀化市5岁以下儿童死因的流行特征分析

发布时间：2018-04-07 00:18

本文选题：儿童　切入点：死因　出处：《现代预防医学》2017年13期

【摘要】：目的了解怀化市2011年至2015年5岁以下儿童死亡率及死因流行特征,为降低5岁以下儿童死亡率提供科学依据。方法对怀化市13个县(市、区)2011年至2015年5岁以下2 736例儿童死亡监测资料进行回顾性分析。结果怀化市5岁以下儿童死亡率2011年为10.03‰,2015年下降至8.16‰。前5位的死因依次为肺炎、先天性心脏病、早产或低出生体重、出生窒息、意外窒息。儿童死亡以婴儿死亡为主,占73.90%,死亡率6.99‰,婴儿首位死因为早产或低出生体重,1~4岁儿童首位死因为溺水。儿童死亡率农村(9.83‰)高于城市(6.64‰),农村儿童首位死因为肺炎,城市为出生窒息。非少数民族自治县(10.05‰)高于自治县(8.55‰),少数民族自治县儿童首位死因为早产或低出生体重,非自治县为先天性心脏病。男童(10.13‰)高于女童(8.67‰),男童首位死因为肺炎,女童为先天性心脏病。结论怀化市5岁以下儿童死亡率仍处于较高水平,规范孕产期保健管理服务,加强出生缺陷和儿童意外伤害的干预,是降低该地区5岁以下儿童死亡率的有力措施。
[Abstract]:Objective to understand the city of Huaihua from 2011 to 2015 the mortality of children under 5 years old and Death epidemic characteristics, to reduce the mortality of children under 5 years of age to provide a scientific basis. Methods in 13 counties of Huaihua city (city, district) from 2011 to 2015 under the age of 5 in 2736 cases of children death monitoring data were retrospectively analyzed. Results children under 5 years old in Huaihua the mortality rate was 10.03 per thousand in 2011, 2015 dropped to 8.16 per thousand. The top 5 causes of death were pneumonia, congenital heart disease, premature birth or low birth weight, birth asphyxia, accidental suffocation. Children death in infant deaths, accounting for 73.90%, the death rate was 6.99 per thousand, the first baby died because of premature birth or low birth weight. The first 1~4 years old children died due to drowning. The mortality rate of children in rural areas (9.83 per thousand) is higher than the city (6.64 per thousand), the first rural children died because of pneumonia, birth asphyxia. Non city minority autonomous county (autonomous county is higher than 10.05 per thousand) (8.55 per thousand), Minority Autonomous County children's first death because of premature birth or low birth weight, Non Autonomous County for congenital heart disease. The boy (10.13 per thousand) is higher than that of girls (8.67 per thousand), the first boy died because of pneumonia, girls with congenital heart disease. The mortality of children under 5 years old conclusion Huaihua city is still at a high level, standardize pregnancy maternal health care management services, strengthen birth defects and child injury intervention is effective measures to reduce the mortality of children under the age of 5.

【作者单位】：怀化市妇幼保健院;
【分类号】：R179

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