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目的:掌握高邮市5岁以下儿童死亡变化趋势及主要原因,探讨干预措施。方法:对2005—2009年5岁以下儿童死亡情况进行回顾性分析。结果:5岁以下儿童死亡率逐年下降,由2005年的10.85‰下降到2009年的6.22‰。先天性心脏病、先天性畸形、溺水等是导致儿童死亡的主要因素。结论:2005—2009年,高邮市婴儿死亡率、5岁以下儿童死亡率,均控制在“十一五”规划范围内。应继续实施“农村妇女免费增补叶酸”国家重大妇幼卫生项目,以降低先天性心脏病发病率,保护儿童健康。
OBJECTIVE: To grasp the change trend and the main causes of death of children under 5 in Gaoyou and to explore the intervention measures. Methods: A retrospective analysis of the deaths of children under 5 years of age from 2005 to 2009 was conducted. Results: The mortality rate of children under 5 years of age decreased year by year, from 10.85 ‰ in 2005 to 6.22 ‰ in 2009. Congenital heart disease, congenital malformations and drowning are the major causes of child mortality. Conclusion: From 2005 to 2009, the infant mortality rate and the mortality rate of children under 5 years of age in Gaoyou are controlled within the “Eleventh Five-Year Plan”. We should continue to implement the “National Women’s and Children’s Health Project Free Folate Supplement for Rural Women” to reduce the incidence of congenital heart disease and protect the health of children.