湖北省5岁以下儿童肺炎死亡对策的研究

Countermeasures for Death-pneumonia of Children under age 5 in Hubei Province

目的 研究农村 5岁以下儿童肺炎死亡的综合干预措施。方法 1 997年 6月～ 2 0 0 0年 2月对75 377例监测组儿童进行肺炎死亡的危险因素干预措施及效果研究。相关资料用卡方检验和直线相关分析。结果 自 1 997年开展儿童肺炎死亡综合干预研究 ,U5MR由 1 996年的 4 1 .1 0‰降至 1 999年的 2 9.1 0‰ ,IMR由 1 996年的 31 .90‰降至 1 999年的 2 3.5 0‰。 5岁以下儿童肺炎死亡在 U5MR死因中的构成比由33.80 %降至 2 5 .70 % ,在 IMR死因中的构成比由 36 .5 0 %降至 1 8.30 %。儿童肺炎死亡专率由 1 996年的372 .0 9/1 0万降至 1 999年 2 39.2 1 /1 0万 ,肺炎病死率也由 1 996年的 6 .0 5 %降到 4 .2 3%。重度和极重度肺炎的转诊率分别由 4 3.5 0 %上升到 88.6 0 %、38.2 0 %上升到 87.90 % ,呈逐年增加趋势。结论 开展儿童肺炎家庭病床管理 ,推广 ARI标准病例管理和临床管理等适宜技术 ,对降低

Objective To study the countermeasures on death caused by pneumonia under the age of five in countryside.Methods Dangerous factors, intervention measures and effects were performed in 75377 cases for death pneumonia group from July 1997 to February 2000.Results The death rate of U 5MR decreased from 41.10‰ in 1996 to 29.10‰ in 1999,the death rate of IMR decreased from 31.90‰ to 23.50‰,the death ratio of pneumonia for children under 5 decreased from 33.80% to 25.70% in U 5MR,death rate decreased from 372.09/10 5 to 239.21/10 5,death pneumonia rate decreased from 6.05% to 4.23%.The transfering rate for serious pneumonia and very serious pneumonia increased from 43.50% to 88.60% and 38.20% to 87.90%,respectively.Conclusions To develop home care management,to promote ARI case manageement and clinical management will be effective for decreasing pneumonia death rate of children under 5 years old.