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目的:对2000~2006年海口市1167例5岁以下儿童死亡进行了分析。方法:收集海口市2000~2006年5岁以下儿童死亡报告资料。结果:2006年海口市婴儿、5岁以下儿童死亡率分别为7.98‰、9.50‰,分别在2000年的基础上下降了53.46%、53.02%。婴儿前5位死因依次是早产、畸形、窒息、肺炎、意外死亡,构成比分别为22.48%、20.55%、16.89%、9.77%、5.19%。1~4岁儿童死亡前5位死因依次是意外死亡、畸形、肺炎、败血症、腹泻,构成比分别为38.59%、16.85%、11.96%、8.70%、6.52%。结论:海口市在降低儿童死亡方面采取的一系列措施产生了良好的效果,出生缺陷的发生率呈明显的上升趋势,全社会应重视这一问题。
Objective: To analyze the death of 1167 children under 5 years old in Haikou from 2000 to 2006. Methods: Data on the death of children under 5 years of age from 2000 to 2006 in Haikou were collected. Results: In 2006, the death rates of infants and children under 5 years old in Haikou were 7.98 ‰ and 9.50 ‰, respectively, which dropped by 53.46% and 53.02% respectively on the basis of 2000. The five leading causes of infant mortality were premature birth, deformity, asphyxia, pneumonia and accidental death, with the proportions of 22.48%, 20.55%, 16.89%, 9.77% and 5.19% respectively. The top 5 deaths of children aged 1 to 4 were followed by accidental deaths. The proportions of deformities, pneumonia, sepsis and diarrhea were 38.59%, 16.85%, 11.96%, 8.70% and 6.52% respectively. Conclusion: Haikou City, a series of measures taken to reduce child deaths have produced good results, the incidence of birth defects showed a clear upward trend, the whole society should pay attention to this issue.