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目的掌握邵阳市0～4岁儿童死亡主要原因,为决策部门采取适宜的干预措施提供可靠科学依据。方法将2008年所监测的全市0～4岁儿童死亡原因进行统计分析。结果0～4岁儿童死亡率为12.14‰,死亡原因前五位依次为意外死亡、出生窒息、先天性心脏病、早产低体重、肺炎。结论加强围产期保健服务与儿童系统管理,加强基层培训,提高产科及儿科医生技术水平,加强安全防护意识宣传,发展社会经济,不断完善三级妇幼保健网络,是降低0～4岁儿童死亡率的关键。
Objective To grasp the main causes of death of children aged 0 ~ 4 years in Shaoyang City and provide reliable scientific basis for decision-making departments to take appropriate interventions. Methods The causes of death of children aged 0 ~ 4 years in the city monitored in 2008 were statistically analyzed. Results The mortality rate of children aged 0 ~ 4 years was 12.14 ‰. The top five causes of death were accidental death, birth asphyxia, congenital heart disease, premature birth, low birth weight and pneumonia. Conclusions Strengthening perinatal care and child system management, strengthening primary training, improving the technical level of obstetricians and pediatricians, strengthening publicity on safety awareness, developing social economy and continuously improving tertiary care and maternal and child health care networks are measures to reduce the deaths of children aged 0-4 Rate the key.