医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
5期
473-473,474
,共2页
5岁以下儿童%死亡率%死亡原因
5歲以下兒童%死亡率%死亡原因
5세이하인동%사망솔%사망원인
Children below 5 years old%Mortality%Cause of death
目的：分析5岁以下儿童死亡率及主要死亡原因，提出干预措施，降低5岁以下儿童死亡率。方法对2008~2012年昆明市儿童医院5岁以下儿童死亡原因及病死率进行分析。结果5岁以下儿童病死率2012年（169例）比2008年（262例）下降了35.50%，新生儿449例，占43.76%；1岁以下335例，占32.65%，5岁以下242例，占23.59%；其中院前死亡442例，占43.78%。导致5岁以下儿童死亡的主要疾病为窒息、肺炎、中枢感染、早产或低出生体重和先天异常,占死亡总数的89.96%。结论降低5岁以下儿童死亡率的关键是降低新生儿及院前死亡率。加强孕产妇及新生儿保健、提高产科质量，早期采取干预措施，加强基层卫生机构建设，通过各种途径和形式进行宣传活动，使基层医务人员和家长对儿童疾病做到早预防、早诊断和早治疗，从而降低5岁以下儿童的死亡率。
目的：分析5歲以下兒童死亡率及主要死亡原因，提齣榦預措施，降低5歲以下兒童死亡率。方法對2008~2012年昆明市兒童醫院5歲以下兒童死亡原因及病死率進行分析。結果5歲以下兒童病死率2012年（169例）比2008年（262例）下降瞭35.50%，新生兒449例，佔43.76%；1歲以下335例，佔32.65%，5歲以下242例，佔23.59%；其中院前死亡442例，佔43.78%。導緻5歲以下兒童死亡的主要疾病為窒息、肺炎、中樞感染、早產或低齣生體重和先天異常,佔死亡總數的89.96%。結論降低5歲以下兒童死亡率的關鍵是降低新生兒及院前死亡率。加彊孕產婦及新生兒保健、提高產科質量，早期採取榦預措施，加彊基層衛生機構建設，通過各種途徑和形式進行宣傳活動，使基層醫務人員和傢長對兒童疾病做到早預防、早診斷和早治療，從而降低5歲以下兒童的死亡率。
목적：분석5세이하인동사망솔급주요사망원인，제출간예조시，강저5세이하인동사망솔。방법대2008~2012년곤명시인동의원5세이하인동사망원인급병사솔진행분석。결과5세이하인동병사솔2012년（169례）비2008년（262례）하강료35.50%，신생인449례，점43.76%；1세이하335례，점32.65%，5세이하242례，점23.59%；기중원전사망442례，점43.78%。도치5세이하인동사망적주요질병위질식、폐염、중추감염、조산혹저출생체중화선천이상,점사망총수적89.96%。결론강저5세이하인동사망솔적관건시강저신생인급원전사망솔。가강잉산부급신생인보건、제고산과질량，조기채취간예조시，가강기층위생궤구건설，통과각충도경화형식진행선전활동，사기층의무인원화가장대인동질병주도조예방、조진단화조치료，종이강저5세이하인동적사망솔。
Objective To analyze the mortality of children under 5 years of age and the main cause of death,the intervention measures, reduce the mortality of children under 5 years of age. Methods from 2008 to 2012 in Kunming city hospital for children below 5 years old the cause of death and mortality were analyzed. Results the mortality rate of children under 5 years old in 2012 (169 cases) than in 2008 (262 cases) fel 35.50% in 449 cases,accounting for 43.76%; 1 years old the fol owing 335, accounting for 32.65%,5 years old the fol owing 242 accounting for 23.59%;wherein the pre-hospital death in 442 cases,accounting for 43.78%. The main disease caused the death of children under the age of 5 asphyxia,pneumonia,infection of central nerve system,premature delivery or low birth weight,congenital anomalies,accounting for 89.96% of the total number of deaths. Conclusion the key to reduce the mortality of children under the age of 5 is to reduce the neonatal mortality and hospital. Strengthen maternal and neonatal care,improve the quality of Obstetrics,early intervention,strengthening the construction of grass-roots health institutions,publicity through various channels and in various forms, so that the grass-roots medical staf and parents do early prevention,early diagnosis and early treatment of diseases of children and children under 5 years old from reduced mortality.
