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目的:分析金华市近5年0～14岁儿童主要死亡原因,为制定干预措施提供依据。方法:对金华市2006-2010年0～14岁儿童死亡监测资料进行描述性分析。结果:0～14岁儿童年平均死亡率0.51‰,0岁组死亡率最高(5.94‰),10～14岁组最低(0.15‰),随着年龄的增长,死亡率下降。意外伤害、围生因素、先天畸形染色体异常是导致0～14岁儿童死亡的前3位原因,而意外伤害中引起儿童死亡的主要原因是溺亡和机动车交通事故。结论:针对0～14岁的主要死亡原因,在加强孕期检查和围生期保健工作的同时,应加强预防意外伤害健康教育,提高家长和儿童的伤害防范意识,有效降低儿童死亡率。
OBJECTIVE: To analyze the main causes of death among children aged 0-14 years in Jinhua City in the recent 5 years and provide the basis for the formulation of intervention measures. Methods: Descriptive analysis of death monitoring data of children aged 0-14 in Jinhua from 2006 to 2010 was conducted. Results: The average death rate of children aged 0-14 was 0.51 ‰, the highest mortality rate was 5.94 ‰ in the 0-year-old group and the lowest was 0.15 ‰ in the 10-14-year-old group. The mortality rate decreased with age. Unexpected injuries, perinatal factors, chromosomal abnormalities caused by congenital malformations are the first three causes of death among children aged 0-14 years. The main causes of child death caused by accidental injuries are drowning and motor vehicle accidents. Conclusions: In order to improve the pregnancy check-ups and perinatal health care, we should strengthen the prevention of unhealthy health education, raise awareness of injury prevention among parents and children, and effectively reduce the child mortality rate.