西安市0～14岁儿童青少年死亡状况分析

发布时间：2018-10-08 14:48

【摘要】：目的了解西安市0~14岁儿童各年龄组的主要死亡原因,为制定防治干预措施提供依据。方法利用西安市2005—2014年死因监测系统数据,用国际疾病分类标准ICD-10进行疾病分类编码。结果西安市2005—2014年0~14岁儿童平均死亡率为80.15/10万,年均下降4.22%,差异无统计学意义(t=-2.261,P0.05)。儿童死亡数占全人群死亡数比例呈下降趋势。男孩死亡率(93.58/10万)高于女孩(64.99/10万)(χ~2=168.90,P0.05);0岁~婴儿死亡率最高(666.84/10万),以后随年龄的增加呈下降趋势,10~14岁儿童死亡率最低(25.13/10万)。围生期有关疾病、损伤中毒和先天性疾病是引起儿童死亡的前3位死因,死亡率分别为18.26/10万,15.60/10万和14.65/10万。机动车交通事故、机动车外意外事故和溺水位居损伤中毒原因的前3位,死亡率分别为3.13/10万,3.07/10万,2.53/10万。结论围生期有关疾病、损伤中毒和先天性疾病是西安市儿童的主要死因。加强孕产妇保健和新生儿围生期护理,预防儿童伤害,可有效降低0~14岁儿童死亡率。
[Abstract]:Objective to investigate the main causes of death of 14-year-old children in Xi'an and to provide evidence for prevention and treatment. Methods the data of death surveillance system of Xi'an from 2005 to 2014 were used to code the disease classification with ICD-10. Results the average mortality rate of children aged from 0 to 14 years old in Xi'an from 2005 to 2014 was 8015 / 100 000, which decreased by 4.22% per year, and the difference was not statistically significant (t = 2.261 P 0.05). The proportion of child deaths in the whole population showed a downward trend. The mortality rate of boys (93.58 / 100,000) was higher than that of girls (64.99 / 100,000) (蠂 ~ 2 / 168.90). The mortality rate from 0 years old to infants was the highest (666.84 / 100 million), and the mortality rate of children aged 10 ~ 14 years was the lowest (25.13 / 100 million) with the increase of age. Perinatal diseases, injuries, poisoning and congenital diseases are the top three causes of death in children, with mortality rates of 182.6 / 100, 000 / 100, 000 and 146,500 / 100, 000, respectively. Motor vehicle traffic accidents, motor vehicle accidents and drowning are among the top three causes of injury and poisoning, with a mortality rate of 3.13 / 100,700 / 100000 / 100, 000 respectively. Conclusion Perinatal diseases, injury poisoning and congenital diseases are the main causes of death in children in Xi'an. Strengthening maternal health care and perinatal care to prevent child injury can effectively reduce the mortality rate of children aged 0 ~ 14 years.
【作者单位】：陕西省西安市疾病预防控制中心;
【分类号】：R179

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