摘要
目的:通过对某院住院儿童死亡病例进行分析,研究该地区儿童死亡的主要死因及变化趋势,改善干预措施,降低该地区的儿童死亡率。方法:对某院165例死亡儿童病例进行回顾性分析,采用SPSS 13.0软件进行统计处理。结果:该院6年来住院儿童病死率比较无统计学差异(P>0.05)。该地区儿童的主要死因依次为新生儿疾病、呼吸系统疾病、损伤与中毒、先天畸形。新生儿疾病是主要死因,先天畸形的死亡构成有上升的趋势,感染性疾病的死亡构成呈下降趋势,其中传染病总体呈下降趋势。各年龄组的病死率有明显统计学差异(P<0.05)。男女性别各年龄组死亡构成无统计学差异(P>0.05),但城乡之间有统计学差异(P<0.05)。结论:加强高危孕妇的保健及监测工作,尤其是围生期及新生儿期的保健工作,搞好产前诊断和缺陷胎儿筛查,把握抢救时机,提高抢救水平,可明显降低儿童死亡人数。
Objective：To study the main causes and change trend of children death in the region by analyzing the dead children in a hospital,improve the interventional measures,reduce children mortality in the region.Methods：165 dead children from a hospital were analyzed retrospectively,SPSS13.0 software was used for statistical analysis.Results：There was no significant difference in the fatality rate of hospitalized children within 6 years（P0.05）.The main causes of children death in the region included neonatal diseases,respiratory system diseases,injury and toxicosis,congenital malformations.Neonatal disease was the main cause of children death,the proportion of children death induced by congenital diseases showed a increasing trend,while the proportion of children death induced by infectious diseases showed a decreasing trend.There was significant difference in mortality of children among different age groups（P0.05）.In different age groups,there was no significant difference in mortality of children between boys and girls（P0.05）,but there was significant difference between urban area and rural area（P0.05）.Conclusion：The measures to reduce the number of children death include enhancing the health care and monitoring of high risk pregnant women,especially the health care during perinatal period and neonatal period,carrying out prenatal diagnosis and fetal screening of birth defect,grasping the opportunity of rescue and improving the rescue level.
出处
《中国妇幼保健》
CAS
北大核心
2011年第28期4361-4364,共4页
Maternal and Child Health Care of China
关键词
住院儿童
主要死因
变化趋势
干预措施
Hospitalized children
Main cause of death
Change trend
Interventional measure
