CAJ | 학술논문

目的了解慈溪市5岁以下儿童死亡率,探讨死亡原因及发展趋势,提出干预措施.方法按照国际疾病分类法(ICD-10)对2006至2013年慈溪市5岁以下儿童死亡资料进行整理分析,计算慈溪市8年间新生儿、婴儿、5岁以下儿童死亡率和5岁以下儿童主要死因死亡水平和年度趋势.结果慈溪市2006至2013年5岁以下儿童死亡率波动在6.99‰～3.61‰,婴儿死亡率1.97‰～5.18‰,新生儿死亡率0.90‰～3.38‰.5岁以下儿童前五位主要死因顺位依次为意外死亡、先天性心脏病、其他先天畸形、早产或低体重儿和出生窒息,占死亡构成的73.3％(195/266).其中新生儿死亡以低出生体重为主,占30.0％(33/110),婴儿死亡以先天性心脏病为主,占21.6％(38/176),新生儿死亡占婴儿死亡62.5％,婴儿死亡占5岁以下儿童死亡的66.2％.结论慈溪市2006至2013年间5岁以下儿童死亡率维持在较低水平.预防意外伤害和减少新生儿死亡是降低5岁以下儿童死亡率的关键.
목적 료해자계시5세이하인동사망솔,탐토사망원인급발전추세,제출간예조시.방법 안조국제질병분류법(ICD-10)대2006지2013년자계시5세이하인동사망자료진행정리분석,계산자계시8년간신생인、영인、5세이하인동사망솔화5세이하인동주요사인사망수평화년도추세.결과 자계시2006지2013년5세이하인동사망솔파동재6.99‰～3.61‰,영인사망솔1.97‰～5.18‰,신생인사망솔0.90‰～3.38‰.5세이하인동전오위주요사인순위의차위의외사망、선천성심장병、기타선천기형、조산혹저체중인화출생질식,점사망구성적73.3％(195/266).기중신생인사망이저출생체중위주,점30.0％(33/110),영인사망이선천성심장병위주,점21.6％(38/176),신생인사망점영인사망62.5％,영인사망점5세이하인동사망적66.2％.결론 자계시2006지2013년간5세이하인동사망솔유지재교저수평.예방의외상해화감소신생인사망시강저5세이하인동사망솔적관건.
Objective To ascertain the mortality situation and main causes of deaths among children under five years of age from 2006 to 2013 in Cixi City.Methods The data of children under 5 years of age who died mortality cases in Cixi City from 2006 to 2013 were analyzed according to the international classification of disease (ICD-10).Results From 2006 to 2013,the mortality rate of chiildren under 5 years of age was 6.99‰-3.61‰ in Cixi City,while the mortality rate of infant was 1.97‰-5.18‰ and newborn infants was 0.90‰-3.38‰.The top 5 causes of death were accidental death,congenital heart disease,other congenital malformations,preterm birth weight and birth asphyxia,which accounted for 73.3％ (195/266),while in newborns mainly with low birth weight (30.0％,33/110),and infants with congenital heart disease (21.6％,38/176).The neonatal deaths accounted for 62.5％ of infant deaths,and the infant deaths accounted for 66.2％ of under 5 mortality rate.Conclusion Under 5 mortality rate in Cixi City from 2006 to 2013 fluctuated,but overall there was a downward trend.Using various measures to reduce accidental deaths among children and infants should be the main strategy for reducing mortality in children under 5 years of age in Cixi City.