【摘要】 目的了解北京市大兴区0～4岁儿童先天畸形死亡现状、死因构成及分布特点,并提出预防策略。方法对大兴区1998-2007年0～4岁儿童先天畸形死亡监测数据及81例死亡病例进行分析。采用卡方检验进行数据处理。结果10年间大兴区0～4岁儿童先天畸形死亡均占0～4岁儿童死因顺位的第一位,无下降趋势;先天性心脏病、唇腭裂、多发畸形为前三位死因;儿童死亡年龄分布新生儿占58.02%、婴儿占90.12%、1～4岁占9.88%。结论降低婴儿及0～4岁儿童死亡率的重点工作应为降低先天畸形的死亡,先天畸形引起死亡的干预工作尤为重要。更多还原

【Abstract】 Objective To investigate the death status,death causation constitution and distribution characteristics of children aged between one and four years with congenital malformation in Daxing District of Beijing,and to propose some prevention measures. Methods The death monitoring data of children aged between one and four years with congenital malformation and related 81 death cases from 1998 to 2007 in Daxing District were analyzed. The related data were evaluated by Chi-square test. Results The mortality of congenital malformation accounted for the first death causation in children aged between one and four years during a ten-year period in Daxing District,and no downtrend was found. The death causes ranked the first three places were congenital heart disease,cleft lip and cleft palate,and multiple malformations. The children’s death age distribution showed that newborns accounted for 58.02%,infants 90.12%,and children aged between one and four years 9.88%. Conclusions The key point of declining the mortality rate of children aged between one and four years with congenital malformation is to reduce the death rate of congenital malformation. It is especially important to conduct the related intervention of deaths caused by congenital malformation.更多还原