Objective To understand the situation and its trend of child death under 5 years from 2001 to 2010 in Chaoyang District of Beijing, so as to explore the strategies and measures to promote children health. Methods The death monitoring data of child under 5 years from 2001 to 2010 in Chaoyang District was collected to analyze the death trend. Results In these ten years, the mortality rates of neonates, infants and children under 5 years dropped significantly( χ2 =6. 763 , P = 0. 009 < 0. 05; χ2 = 6. 518, P = 0. 011 < 0. 05 ;χ2 = 6.508,P = 0. 011 < 0. 05 ). In death of child under 5 years, infant and neonatal death was dominant, and the constituent ratio was 52. 32% and 38. 12% , respectively. Congenital heart disease and birth asphyxia were the major reasons threatening lives of children under 5 years, and they were ranked at first place in first 5 years and second 5 years respectively. Conclusion The health status of children under 5 years has continuous improvement. Comprehensive measures should be taken continuously to control child mortality and thereby to improve the overall health quality of children.%目的 了解北京市朝阳区2001至2010年5岁以下儿童死亡状况及其变化趋势.探讨促进儿童健康的策略和措施.方法 收集2001至2010年朝阳区5岁以下儿童死亡监测数据,分析死亡变化趋势.结果 10年间朝阳区新生儿、婴儿、5岁以下儿童死亡率呈明显下降趋势(χ2=6.763,P=0.009<0.05;χ2=6.518,P=0.011<0.05;χ2=6.508,P=0.011<0.05).5岁以下儿童死亡以婴儿和新生儿死亡为主,其构成比分别为52.32%和38.12%.先天性心脏病、出生窒息始终是威胁5岁以下儿童生命的首要原因,分别位于前5年和后5年的第1位死因.结论 朝阳区5岁以下儿童的健康状况持续改善.应继续采取综合措施控制5岁以下儿童死亡率,全面提高儿童健康素质.
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