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目的分析2010-2015年兰州市0~6岁儿童健康状况,对儿童健康工作进行客观性评价,探究改进方法和措施,旨在引起全社会更加关注儿童健康,让更多儿童享有更安全、更健康的保健服务。方法对兰州市2010-2015年年报、围产儿及儿童死亡报告卡进行详细分析。结果 2010-2015年兰州市0~6儿童保健服务各项指标基本上升,2015年较2010年3岁以下儿童系统管理率提升了24.12%、7岁以下儿童保健覆盖率提升了2.42%、6个月内母乳喂养率提升了0.37%、新生儿访视率提升了4.76%、新生儿CH/PKU筛查率提升了16.82%、新生儿听力筛查率提升了14.10%。5岁以下儿童各项营养评价指标基本呈现下降状态,2015年较2010年中重度营养不良患病率下降了4.76%、中重度贫血患病率下降了92.66%、低出生体重儿发生率下降了12.81%。围产儿、5岁以下儿童死亡率呈逐年下降走向,2015年较2010年围产儿死亡率下降了37.94%、新生儿死亡率下降了37.24%、婴儿死亡率下降了27.79%、5岁以下儿童死亡率下降了22.12%。结论兰州市5岁以下儿童死亡仍有降低空间,儿童保健工作还有很大的发展市场,未来工作重点是争取政府、卫生行政部门支持,加大对儿童保健工作各方面投入,继续提高儿童健康管理工作质量。
Objective To analyze the health status of children aged 0 ~ 6 years in Lanzhou from 2010 to 2015, to evaluate the objectivity of children’s health work, to explore ways and means of improvement, aiming to arouse the whole society to pay more attention to the health of children and to make more children safer Healthy health care. Methods Lanzhou 2010-2015 annual report, perinatal and child death report card for a detailed analysis. Results The indicators of 0 ~ 6 children’s health care services in Lanzhou from 2010 to 2015 basically increased. In 2015, the system management rate of children under 3 years old increased by 24.12%, and the coverage rate of children under 7 years old increased by 2.42% and 6 During the month, the rate of breastfeeding increased by 0.37%, the rate of newborns increased by 4.76%, the rate of newborn CH / PKU screening increased by 16.82%, and the rate of neonatal hearing screening by 14.10%. The indicators of nutritional status of children under 5 years of age showed a general decline. The prevalence of severe malnutrition in 2015 was 4.76% lower than that in 2010, the prevalence of moderate and severe anemia decreased by 92.66%, and the incidence of low birth weight children decreased 12.81%. The perinatal mortality rate for children under 5 years of age has been decreasing year by year. In 2015, the perinatal mortality rate dropped by 37.94%, the neonatal mortality rate dropped by 37.24%, the infant mortality rate dropped by 27.79%, and the death rate among children under 5 years of age The rate dropped by 22.12%. Conclusion There is still room for reduction in the deaths of children under the age of 5 in Lanzhou City, and there is still a great market for children’s health care work. The focus of the future work is to win the support of the government and health administrative departments, increase investment in all aspects of child health care and continue to improve children’s health Manage the quality of work.