CAJ | 학술논문

目的了解2003-2009年南京市雨花台区5岁以下儿童死亡变化趋势及原因.方法分析2003-2009年南京市雨花台区妇幼保健所监测的5岁以下儿童死亡资料.结果2003-2009南京市雨花台区5岁以下儿童死亡率、婴儿死亡率、新生儿死亡率逐年下降；2003年至2009年5岁以下儿童死亡率、婴儿死亡率、新生儿死亡率有显著性差异(P<0.05)；先天异常、意外死亡、早产低体重是5岁以下儿童死亡的三大原因.结论建设完善的儿童死亡监测网络，加强出生缺陷的三级预防，重视意外死亡的防护，加强围产期保健降低儿童死亡率的重要途径.要降低5岁以下儿童死亡率，需积极采取干预措施，加强孕产期系统管理，预防早产和畸形儿的发生；加强产科建设，提高产科质量，规范产时监护，预防新生儿窒息的发生；做好新生儿期的保健，加强系统管理，预防和控制相关疾病的发生和死亡；强化婴幼儿安全意识的教育，减少意外死亡的发生，从而达到降低儿童死亡的目的.
목적료해2003-2009년남경시우화태구5세이하인동사망변화추세급원인.방법분석2003-2009년남경시우화태구부유보건소감측적5세이하인동사망자료.결과2003-2009남경시우화태구5세이하인동사망솔、영인사망솔、신생인사망솔축년하강；2003년지2009년5세이하인동사망솔、영인사망솔、신생인사망솔유현저성차이(P<0.05)；선천이상、의외사망、조산저체중시5세이하인동사망적삼대원인.결론건설완선적인동사망감측망락，가강출생결함적삼급예방，중시의외사망적방호，가강위산기보건강저인동사망솔적중요도경.요강저5세이하인동사망솔，수적겁채취간예조시，가강잉산기계통관리，예방조산화기형인적발생；가강산과건설，제고산과질량，규범산시감호，예방신생인질식적발생；주호신생인기적보건，가강계통관리，예방화공제상관질병적발생화사망；강화영유인안전의식적교육，감소의외사망적발생，종이체도강저인동사망적목적.
Objective To ascertain themortality situation andmaindeath causes among childrenUnder fiveyears old in Yuhuataidistrict from 2003 to 2009 and explore interventionmeasures.[Methods]Based on reported cases ofdeath among childrenUnder 5 years old from variousmedical organizations of Yuhuataidistrict from 2003 to 2009.[Results]Mortality of childrenUnder 5 years old 、infant and newborns showed thedecline trend from 2003 to 2009 year by year. Themaindeath causes were congenital abnormality,accidental suffocation,birth asphyxia,premature labor ,low birth weight .[Conclusion]To reduce themortality of childrenUnder 5 years of age, we should take interventionmeasures to strengthen thematernal system management, to prevent the occurrence of premature anddeformed children; Strengthens obstetrics to construct, improves obstetrics quality, normative intrapartumguardianship, prevention occurrence of the neonatal asphyxia;do the neonatal period ofhealth care, strengthening systemmanagement, the prevention and control of relateddisease anddeath; strengthen awareness of infant and child safety education, to reduce the incidence of accidentaldeath, to achieve the objective of reducing childmortality.