福建省2007-2010年5岁以下儿童死因分析

Major causes of death in children less than 5 years of age in Fujian,China,2007-2010

目的分析福建省2007-2010年5岁以下儿童主要死亡原因情况及特征,为制定干预措施提供科学依据。方法 分析死因登记信息网络报告系统上报的福建省2007-2010年5岁以下儿童死因及特征。结果 2007-2010年福建省共报告6 166例5岁以下儿童死亡病例,年平均死亡率为6.28/万,各年龄组即0~岁、1~岁、2~岁、3~岁、4~5岁的死亡率分别为44.89/万、5.48/万、3.28/万、2.38/万、1.76/万。1岁以下占78.74%,1岁以下死亡儿童出生28d内死亡的占64.33%;病例的死亡时间均匀的分布在12个月份,没有明显的高峰时间;死亡地点主要在住院死亡（63.87%）,最高诊断依据主要是单纯临床诊断（53.50%）,最高级别诊断单位主要是地市级医院（42.96%）;前5位的死因分别为围产期疾病、先天异常、伤害、流行性感冒和肺炎、传染病和寄生虫病,合计构成比为69.45%。结论 福建省2007-2010年5岁以下儿童死亡中,以婴儿死亡居多,婴儿死亡中又以新生儿死亡居多。围产期疾病、先天异常、伤害是5岁以下儿童死亡的三大死因。5岁以下儿童死因中先天性异常的比例在逐年上升,循环系统疾病比例在逐年下降。

Objective To analyze major causes of death in children under 5 years of age in Fujian,China,and to provide scientific evidence for the protection of infants and young children.Methods The data of 2007-2010 death cases were collected from China Disease Report Information System for children under 5 years of age in Fujian.Microsoft Excel and SPSS 15.0 packages were respectively used to establish the database and to analyze the data.Results A total of 6 166 death cases were reported from 2007 to 2010 for children less than 5 years of age.Death rate was 62.8 /lakh on average.The death rates of children under 1,2,3,4 and 5 years of age were 448.9,54.8,32.8,23.8 and 17.6/lakh,respectively.The number of infant death accounted for 78.74% of cases.64.33% of infant death occurred in newborn babies.There was no seasonal difference for the cases of death.Most cases of death（63.87%） occurred in hospital.The top five causes of death were periparturient diseases,congenital malformations,injuries,influenza and following pneumonia,infectious and parasitic diseases,respectively,together of which accounted for 69.45% of death cases.Conclusion Newborn babies and infants were high risk groups for the death of children under 5 years of age in Fujian.The increasing trend of congenital malformation related death suggests the importance of prenatal screening testing.