兰州市2010-2014年5岁以下儿童死亡分析

Mortality analysis on children under 5 years old in Lanzhou City from 2010 to 2014

目的分析兰州市2010-2014年5岁以下儿童死亡现状及主要危险因素,为更好地改善兰州市儿童保健工作,降低5岁以下儿童死亡率提供科学依据。方法利用兰州市2010-2014年5岁以下儿童死亡报告卡,对监测报告结果进行分析,并评估潜在减寿年数(potential years of life lost,PYLL)。结果兰州市2010-2014年5岁以下儿童死亡1 178例,死亡率为7.97‰,新生儿死亡占5岁以下儿童死亡的69.61%。5岁以下儿童死亡的前6位死因依次为早产或低出生体重、出生窒息、先天性心脏病、其他先天异常、肺炎和意外死亡,其所导致的早死指数分别依次为71.73、71.73、71.42、71.60、71.64、69.47。5岁以下儿童总人均PYLL为71.44(8 4157.94/1 178)。结论应积极防治导致5岁以下儿童死亡的主要死因,完善产科、儿科建设,建议推广PYLL及早死指数在儿童保健工作中的应用。

Objective To understand the situation and main causes of children death under five years old in Lanzhou City from 2010 to 2014-and provide scientific basis for improving child health care to further reduce under-five mortality rate. Methods The death reporting categorized cards of children under five years old from 2010 to 2014 were used to analyze the distribution of age and causes of death, the potential years of life lost （PYLL） was assessed. Results The average mortality of children under five years old was 7.97%~ and neonatal death accounted for 69.61%. The top six leading causes of death were preterm delivery or low birth weight, birth asphyxia, congenital heart disease, other congenital anomaly, pneumonia and accidental death. The index of potential death caused by the top six leading causes were 71.73, 71.73, 71.42, 71.60, 71.64 and 69. 47 respectively. The per PYLL of children under 5 years old was 71.44 （84157.94/1178）. Conclusions We should actively control the main causes of children death under five years old, im- prove the construction of obstetrical and pediatrics department, and popularize the use of PYLL and the index of potential death in child care evaluation as early as possible.