Abstract: 【Objective】 To obtain changing trends of main causes of infant mortality in Shandong province,analysis the composition of leading causes of death and change of their positions,probe into the intervention measures. 【Method】 Based on Foxfro database, the monitoring data from 2000 to 2009 on infant death were analyzed, and the infant mortality over the province and the changing trends were calculated and the changing positions were analyzed. 【Results】 The neonatal mortality had a declining trend over the province during 9 years. The neonatal mortality of 2000 and 2009 over the province was 20.47‰ and 8.47‰(χ²=7.86,P＜0.01 )respectively. Premature birth and low birth weight and birth asphyxia, which were the two leading causes of infant mortality, showed decreases during 2000 and 2009. 【Conclusions】 The neonatal mortality is on pre-position of infant death. To reduce the neonatal mortality is the key to reduce the infant mortality. A series of measures should be taken to reduce infant mortality, such as strengthening the management of perinatal care; integrating clinical and health care resources; carrying out systematic service before pregnancy, during pregnancy and after delivery; improving clinical treatment capability and capacity of maternal and child health services.

Key words: infant mortality, death causes, trend, intervention

摘要： 【目的】 掌握山东省婴儿死亡率的动态变化趋势,分析主要死因构成及其顺位变化,探讨干预措施。 【方法】 采用Foxpro建立数据库,对山东省2000-2009年间婴儿死亡监测资料进行统计分析。计算全省婴儿死亡率及变化趋势,分析死因顺位。 【结果】 9年间,全省婴儿死亡率均呈下降趋势,2000、2009年全省婴儿死亡率分别为20.47‰、8.47‰(χ²=7.86,P＜0.01 );2000-2009年前两位主要死因早产和低出生体重、出生窒息死亡率均有下降趋势(P均＜0.01)。 【结论】 加强围生期保健管理,整合临床、保健资源优势,开展孕前、孕中、孕后系统化服务模式,提高临床救治能力及妇幼保健服务能力,降低婴儿死亡率,是降低早期新生儿死亡率是降低婴儿死亡率的关键。

关键词: 干预, 婴儿死亡率, 死因, 变化趋势