无锡市2010—2017年婴儿死亡分析

Analysis of infant mortality in Wuxi from 2010 to 2017

目的探讨无锡市近年来婴儿的死亡状况及变化趋势,为儿童保健、疾病防治和卫生行政部门决策提供参考依据。方法收集2010—2017年无锡市婴儿死亡监测资料,进行回顾性分析。结 果无锡市2010—2017年婴儿和新生儿死亡率总体均呈下降趋势,0~6 d死亡率、流动婴儿死亡率、流动新生儿死亡率下降幅度大,总下降率分别为49.38%、38.77%和45.51%。早产低出生体质量、出生窒息和先天性心脏病为前3位死因。结论无锡市2010—2017年婴儿、新生儿死亡率呈下降趋势,仍需坚持预防与保健相结合,加强三级妇幼保健网络建设,多措并举不断降低婴儿死亡率。

Objective To explore the prevalence and changing trends of the mortality among children under one year old in Wuxi,and to provide proper reference for the decisions made by the child health,disease control,and health administration.Methods A retrospective analysis was conducted using the surveillance data of infant deaths in Wuxi from 2010 to 2017.Results The infant mortality rate and neonatal mortality rate in Wuxi showed a decreasing trend from 2010 to 2017.Neonatal mortality rate within 7 days,infant and neonatal mortality rate of floating population decreased greatly,which declined 49.38%,38.77%and 45.51%,respectively,compared with those in 2010.The three main causes leading to infant death were premature or low birth weight,birth asphyxia,and congenital heart disease.Conclusion Although the infant and neonatal mortality rate in Wuxi showed a declining trend from 2010 to 2017,it is still necessary to combine prevention and clinical health care,strengthen the construction of the third-level maternal and child health care network,and continue to explore more measures to continuously reduce infant mortality.