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目的:分析松阳县5岁以下儿童死亡的变化趋势,评价干预措施的效果。方法:利用县、乡、村三级妇幼保健网络人员,准确掌握本辖区内的活产数和死亡数,利用指数曲线拟合各年死亡率监测数据,并计算各年监测死因情况,描述各年儿童死亡率指数。结果:松阳县2007年5岁以下儿童死亡率为11.84‰,婴儿死亡率为9.00‰,与1996年相比具有明显的下降趋势。主要死因分别为早产和出生低体重、意外窒息和先天异常。可预防性指数在1996年的基础上分别下降了16和10位次。结论:儿童死亡率与死因结构有密切关系,必须大力开展儿童死亡的监测与干预工作。
Objective: To analyze the changing trend of death of children under 5 years old in Songyang County and evaluate the effect of interventions. Methods: By using the maternal and child health care network personnel at county, township and village levels, the number of live births and deaths in this area was accurately grasped, and the annual mortality data were fitted by means of exponential curve. The causes of death were monitored and described Year Child mortality index. Results: The mortality rate of children under 5 years old in Songyang County in 2007 was 11.84 ‰, and the infant mortality rate was 9.00 ‰, showing a significant downward trend compared with 1996. The main causes of death were premature birth and low birth weight, asphyxia and congenital anomalies. The Preventive Index dropped by 16 and 10 respectively on the basis of 1996. Conclusions: The child mortality rate is closely related to the cause of death structure, and the monitoring and intervention of child death must be vigorously carried out.