【摘要】 目的分析2008至2013年内蒙古自治区5岁以下儿童意外伤害死亡现状及主要死因,探讨其意外伤害死亡特征,为制定儿童意外伤害死亡的预防和控制措施提供科学依据。方法采用全面调查的方法,资料来源于全区妇幼卫生年报表及5岁以下儿童死亡报告卡,采用国际疾病分类(ICD-10)进行死因分类。应用SPSS 17.0软件进行统计分析。结果内蒙古自治区婴儿、1~4岁儿童及5岁以下儿童意外伤害死亡率分别为26.90/10~5、33.40/10~5与60.30/10~5,意外伤害死亡占总死亡的构成比分别为3.56%,31.87%与7.01%。5岁以下儿童意外伤害死亡男童多于女童,差异无统计学意义(χ~2=0.17,P>0.05);农村多于城市,而且城乡之间存在显著性差异(χ~2=8.29,P<0.05)。不同年龄儿童意外伤害死因及顺位有所不同,婴儿以意外窒息(63.07%)、跌落(7.10%)和交通意外(7.10%)为主;1~4岁儿童以交通意外(35.93%)、意外窒息(15.56%)和溺水(14.65%)为主;5岁以下儿童以意外窒息(36.76%)、交通意外(23.07%)、溺水(8.62%)为主。结论减少婴儿意外窒息和1~4岁儿童交通意外的发生,加强农村地区儿童及家长的安全教育是预防和控制本区5岁以下儿童意外伤害死亡的关键措施。更多还原

【Abstract】 Objective To analyze the current status of unintentional injury death in children under 5 years old and explore their characteristics,so as to provide scientific evidence for formulating measures to prevent and control unintentional injury death.Methods The data was obtained from annual statement of maternal and child health and death card of children under the age of five in the whole region by the method of complete investigation.ICD-10 was used to classify the death causes.Data was analyzed by SPSS 17.0.Results The unintentional injury mortality was 26.90/100 000,33.40/100 000 and 33.40/100 000,respectively in baby,children aged 1-4 years old and children under the age of five in Inner Mongolia autonomous region,and the proportion in overall death was 3.56%,31.87%and7.01%,respectively.There were more boys than girls suffering unintentional injury death among children under 5 years,but the difference was not significant(x~2 = 0.17,P > 0.05).Unintentional injury death was more in rural children than in urban children,and the difference was sig nificant(x~2 = 8.29,P < 0.05).Causes of death and cis position were different among children of different age.The main causes were accidental suffocation(63.07%),falling(7.10%) and traffic accident(7.10%) for babies,traffic accidents(35.93%),accidental suffocation(15.56%) and drowning(14.65%) for children aged 1-4,and accidental suffocation(36.76%),traffic accidents(23.07%) and drowning(8.62%) for children under 5 years old.Conclusion The key measure to prevent and control the unintentional injury death among children under 5 is to reduce infant’ s accidental asphyxia and traffic accidents in children aged 1- 4,and to strengthen the safety education for parents and children in rural areas.更多还原