摘要
目的 了解苏州市1993～1999年5岁以下儿童死亡率(U5MR)动态变化趋势及主要死亡原因情况。方法 采用回顾性研究的方法,对苏州市7年来5岁以下儿童死亡监测资料进行分析。结果 1993年死亡率为18.53‰(122/6 585),1999年为10.85 ‰(69/6 358),死亡率呈下降趋势;肺炎、出生窒息的死因顺位逐年下降,早产低出生体重、先天性心脏病、其它先天异常、溺水的死因顺位逐年上升。结论 今后的儿童保健工作,在不放松对感染性疾病控制的同时,要把儿童生存问题的重点转移到降低早产低出生体重、先天畸形和意外伤害的预防和控制上来。
Objective To examine the mortality of children under 5-year old (U5MR), its trend and associated factors in Suzhou city, 1993-1999. Methods Surveillance data on child death from 1993 to 1999 was analyzed. Results Overall U5MR declined form 18.53 per thousand (122/6 585) in 1993 to 10. 85 per thousand (696/6 358) in 1999. Mortality attributed to pneumonia and neonatal asphyxia declined, but mortality attributed to low birth weight, congenital heart disease, other congenital malformations and drowning was increased. Conclusions To further reduce infant or child mortality, non-infectious causes, such as sow birth weight and congenital malformations, should be the major focus.
