摘要目的 分析河南省濮阳市5岁以下儿童死亡状况和特点,为降低5岁以下儿童死亡率制定可行的干预措施.方法 收集2003～2007年5岁以下儿童死亡报告卡,对5岁以下儿童死亡情况进行回顾性的分析.结果 2003～2007年濮阳市5岁以下儿童死亡率呈下降趋势,2003年为18.06%,2007年为15.58%,各年龄组死亡构成无明显变化,5岁以下儿童死因顺位前5位依次为早产和低体重、出生窒息、肺炎、先天性心脏病,其他先天性缺陷和意外伤害.结论 降低5岁以下儿童死亡率的关键是加强妇幼保健工作,提高妇幼保健技术人员的业务素质和全社会的妇幼保健意识.

abstractsObjective To comprehend the condition and characteristic of the mortality in children under 5 of Puyang, Henan and then work out practical Intervention Measures to cut down the mortality rate of children under 5. Methods Collecting the Death Report Cards of the children under 5 from 2003 to 2007 and making a retrospective analysis of them. Results The mortality rate of the children under 5 in Puyang is descendlng,such as 18.06% in 2003 and 15.58% in 2007. And no obvious changes could be found in the composition of the mortality in different ages. The first five causes of the mortality of the children under 5 are premature delivery,low birth weight, asphyxia of newborn,pneumonia, congenital heart disease,other inborn errors and unexpressive asphyxia. Conclusion The key to cut down the mortality rate of the children under 5 is to strengthen the Women and Children' s Health care,improve the professional competence of technicians and raise the awareness for the Women and Children's Health care of the whole society.