【摘要】 目的　了解 5岁以下儿童意外死亡的动态变化规律和趋势。方法　对我省 5岁以下儿童生命监测区 1995年 / 1999年 5 a监测资料进行分析。结果　监测区 5岁以下儿童意外死亡率 5 a上升 5 1.2 %。 5岁以下儿童意外死亡占总死亡比 5 a上升 7.2 6 %。城乡比较城市呈下降趋势 ,农村呈逐年上升趋势。年龄分组表现 1岁～ 4岁组上升比其他组高 ,在主要死因分布上 ,0岁组意外窒息死亡占 86 .1% ,1岁～ 4岁儿童主要死于溺水、交通意外。季节分布上 ,意外窒息多发生于冬春季 ,溺水多发生于夏秋季。结论　 5岁以下儿童意外死亡率上升速度快 ,严重威胁儿童生存和健康 ,应尽快制定控制措施 ,针对不同年龄 ,不同季节 ,不同死因应有不同预防措施。农村是干预的重点地域 ,健康教育是最好的基本措施。更多还原

【Abstract】 Objective To investigate the dynamic alteration and trend of the accidental death in children under 5 years old in Fujian Province.Methods We analyzed the data of the accidental death in children under 5 years old from 1995 to 1999(5 years) in the monitoring areas in our province.Results The accidental death in children under 5 years old increased 51.3% in 5 years in the monitoring areas.The ratio of accidental death to total death in children under 5 years old increased 7.26% with a more significant increase in the children aged 1～4 years;compared to city,the ratio tended to decrease in otskirt and increase in the rural area.The main causes of death in children aged less than one year were asphyxia(86.1%),aged more than one years were drown and traffic accident.Asphyxia predominantly happened in winter and spring,and drown mainly in summer and autumn.Conclusions The accidental death increased significantly in children under 5 years old;the different measures pointed toward the different ages,seasons and causes have to be developed soon in order to control the accidental children death;intervention should be centered in rural area,and healthcard is the foundmental measure.更多还原