Liu Yi-Xin, Jiang Xue-Ming
Department of Child Health Care, Shenzhen Maternal and Child Health Care Hospital, Southern Medical University, Shenzhen, Guangdong 518048, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2015 Apr;17(4):390-4.
To study the trend of the mortality rate and the leading causes of death among children under 5 years of age in Shenzhen, China, from 2003 to 2013.
The surveillance data of mortality among children under 5 years of age in Shenzhen from 2003 to 2013 were collected, and the mortality rates among infants (IMR) and children under 5 years of age (U5MR) with different household types and the leading causes of death were determined.
Between 2003 and 2013 the IMR and U5MR in Shenzhen dropped by 61.56% and 60.56%, respectively from 7.83‰ and 10.04‰ in 2003 to 3.01‰ and 3.96‰ in 2013. The IMR and U5MR of the non-household population were significantly higher than those of the household population. The leading causes of death among children under 5 years of age were preterm birth/low birth weight, congenital heart disease, accidental asphyxia, septicemia, and birth asphyxia.
The U5MR has substantially reduced in Shenzhen. To further reduce the U5MR, it is important to improve prenatal diagnosis and neonatal resuscitation, enhance perinatal health care and accident prevention, and strengthen health care of floating population.
研究2003年至2013年中国深圳5岁以下儿童死亡率及主要死因的变化趋势。
收集2003年至2013年深圳5岁以下儿童死亡率监测数据，确定不同家庭类型的婴儿死亡率（IMR）和5岁以下儿童死亡率（U5MR）以及主要死因。
2003年至2013年期间，深圳的IMR和U5MR分别从2003年的7.83‰和10.04‰降至2013年的3.01‰和3.96‰，降幅分别为61.56%和60.56%。非户籍人口的IMR和U5MR显著高于户籍人口。5岁以下儿童的主要死因是早产/低出生体重、先天性心脏病、意外窒息、败血症和出生窒息。
深圳的U5MR已大幅降低。为进一步降低U5MR，改善产前诊断和新生儿复苏、加强围产期保健和事故预防以及加强流动人口的医疗保健非常重要。
