1993～1999年重庆市5岁以下儿童意外死亡监测分析

Monitoring Analysis on Chongqing Accidental Death among Children under Five in 1993～1999.

【目的】 掌握我市 5岁以下儿童意外死亡状况及特点并进行分析 ,提出相关预防措施。 【方法】 全市两个城区和 3 3个农业县 (市 ) 5 %～ 10 %的乡镇为 5岁以下儿童死亡监测点。监测对象、内容、方法及质控均按“中国 5岁以下儿童死亡监测方案”进行。 【结果】 重庆市 1993～ 1999年 5岁以下儿童死亡率为 62 6.6/ 10 5。农村意外死亡率高于城区 3 .3 5倍 ,意外死亡占总死亡的 2 0 .0 7%。 1～ 4岁意外死亡占意外死亡总数的 72 .5 %。意外死亡性别比在婴儿期无明显差异 ,1～ 4岁男童高于女童。意外死亡原因顺位随年龄有所变化 ,新生儿和小婴儿意外窒息占第一位 ,1岁以上幼儿发生溺水和车祸多 ,占第一和第二位。 87.2 5 %的儿童死于途中和家中 ,77.3 4 %的儿童死前未得到救治。 【结论】 针对上述儿童意外死亡特点提出并落实相关预防措施。

Objective Monitor and analyse Chongqing accidental death among children under 5 years(U5Y). Methods Monitoring study on accidental death U5Y in 2 urban districts and 33 rural counties during 1993～1999 performed according “National Death Monitoring Programme”. Results Accidental mortality during 1993～1999 among children U5Y in Chongqing was 626.6/10 5,composed of 20.07% of the overall death during the same period.The rural accidental moritality was 3.35 fold higher than that of city,1～4 years old composed 72.5% of the total accidental death.No sex differences in infants but 1～4 years old male was higher than female.For the causes of accidental death ,asphysia was the first in newborns and infants, drowning and traffic accidents were the most causes over one years old children.77.34% of the cases had not been rescued beford death. Conclusions Prevention and safty education are very important.Emergency training should be carried out in community health department.