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目的:了解绍兴市监测点5岁以下儿童死亡情况,提出相应干预措施,以有效降低儿童死亡率。方法:对绍兴市2006～2008年监测点5岁以下儿童死亡率、死亡原因、死前保健服务进行分析。结果:2006～2008年绍兴市5岁以下儿童死亡率逐年下降,死因前5位依次为先天性心脏病、早产和低出生体重、溺水、意外窒息、出生窒息和其他先天异常。死前治疗以医院为主,占52.22%,但未就医占21.85%。结论:应该加强妇幼保健工作,加强基层培训,提高产科、儿科医生技术水平,提高家长安全防范意识,预防和减少儿童意外死亡,加强农村合作医疗和农村社区服务能力,从而降低5岁以下儿童死亡率。
Objective: To understand the death of children under 5 years of age at monitoring points in Shaoxing and to put forward corresponding interventions so as to effectively reduce the child mortality rate. Methods: The mortality rate, cause of death and prenatal care service of children under 5 years old at monitoring points in Shaoxing from 2006 to 2008 were analyzed. Results: From 2006 to 2008, the death rate of children under 5 years of age in Shaoxing decreased year by year. The top 5 causes of death were congenital heart disease, premature birth and low birth weight, drowning, accidental asphyxia, birth asphyxia and other congenital anomalies. Pre-mortem hospital-based treatment, accounting for 52.22%, but not medical treatment accounted for 21.85%. Conclusions: The work of maternal and child health should be strengthened, the grass-roots training should be strengthened, the technical level of obstetrics and pediatrics should be improved, the safety awareness of parents should be improved, the accidental death of children should be prevented and reduced, and the ability of rural cooperative medical care and rural community service should be strengthened so as to reduce the death of children under 5 years of age rate.