【目的】 了解番禺区5岁以下儿童死亡原因及变化情况,为制定降低5岁以下儿童死亡的措施提供依据。 【方法】 对番禺区2007-2010年5岁以下儿童死亡进行回顾分析。 【结果】 4年来,番禺区5岁以下儿童死亡率平均为5.83‰;新生儿死亡、婴儿死亡分别占5岁以下儿童死亡的43.18%和70.62%;男童死亡率大于女童,流动人口儿童死亡率大于常住人口儿童死亡率;意外死亡、先天畸形、早产低出生体重是5岁以下儿童主要死因;仍有24.19%的儿童死前未接受治疗。 【结论】 降低婴儿、新生儿死亡率是降低5岁以下儿童死亡率的关键,预防儿童意外死亡和降低出生缺陷率是降低5岁以下儿童死亡率的当务之急,进一步加强对流动人口的保健管理。

【Objective】 To know the current death situation and the change of children under 5 years old in Panyu, and study the measures of decreasing the children mortality. 【Method】 The death information of children under 5 years old in Panyu during 2007-2010 were analyzed. 【Results】 The mortality rate of children under 5 years old was 5.83%, 43.18%of them were neonates, 70.62% of them were infants; The male children mortality were higher than female children; The mortality rate of children in floating population was significantly higher than that of inhabitant; Top 3 causes of were accidental death、congenital malformation and premature low birth weight; 24.19% of them death without treatment. 【Conclusions】 The key to reduce the death rate of children under 5 years old is to reduce the death of infant and neonates, especially the care of floating population. It is important to preventing the accidental death and congenital malformation.