辽阳市2008～2012年5岁以下儿童死亡情况分析

Analysis on death of children under 5 years old from 2008-2012 in Liaoyang city

目的分析辽阳市2008～2012年5岁以下儿童死亡变化趋势，制定合理、有效的干预措施。方法对2008～2012年辽阳市5岁以下儿童死亡监测资料进行回顾性分析。结果5岁以下儿童死亡率平均为7．43‰，呈逐年下降趋势；5岁以下儿童死亡中以婴儿为主，婴儿死亡中以新生儿为主；5岁以下儿童死亡前五位死因主要为：早产或低出生体重、其他先天异常、先心病、肺炎、出生窒息。结论提高围生期保健水平，做好疾病筛查工作，预防出生缺陷，加强产儿科合作，提高窒息复苏技术水平，是降低5岁以下儿童死亡率的有效措施。

Objective The paper is to analyze tendency and leading causes on death of children under 5 years old, and to make rational or effective intervention measures for children death from 2008-2012 in Liaoyang city. Methods The death surveillance data of children under 5 years old in Liaoyang city from 2008-2012 were analyzed retrospectively. Results The average mortality of children under 5 years old takes 7.43 percent and descends year by year; among the mortality of children under 5 years old, infants takes large percentage; and the mortality of newborns are mainly occurred in the infants. The top five reasons for children death involves preterm and low birth weight, other anomalies, congenital heart disease, pneumonia, and birth asphyxia. Conclusion The effective measures of reducing death rate of children under 5 years old is supposed to enhance the health care management in child birth period, improving the quality of management in disease screening to prevent birth defects, strengthening cooperation of obstetrics and upgrading the level of asphyxiated resuscitation.