摘要
目的了解渭南市出生缺陷的发生情况、变化趋势与相关因素，为制定进一步提高出生人口素质对策提供科学依据。苈法按奎国“出生缺陷监测方案”对市级和辖区年分娩大于500人次的23所医疗保健单位出生的目产儿进行监测，并对出生缺陷资料进行分析。结果2001—2007年监测医院共出生围产儿103773例，其中缺陷儿980例，出生缺陷发生率为94．4／万，且呈逐年下降趋势，2001年（129．7／万）与2007年（72．4／万）相比出生缺陷发生率下降了57.3／万；缺陷主要类型为神经管畸形、颜面和四肢畸形；城市、农村缺陷发生率分别为58．95／万、110．80／万，年龄小于20岁、大于35岁妊娠者缺陷发生率分别为122．45／万、115.13／万。结论高龄孕妇、农村地区是出生缺陷工作预防的重点，做好孕前、孕期保健，推广使用叶酸增补剂，加大产前诊断技术培训．提高产前诊断率是降低出生缺陷发生的有效手段。
Objective To investigate prevalence, change trend in the prevalence and related factors of birth defects in Weinan city, so as to provide a scientific basis for working out strategies of aristogenesis work to improve quality of the population. Methods According to ＂The monitoring program of birth defect in China＂, the perineonates in 23 municipal and secondary hospitals with more than 500 births per year in Weinan city were monitored and the data of neonates with birth defect were analyzed. Results From 2001 to 2007,103 773 neonates were born in the monitored hospitals, of which 980 neonates with birth defect were found. The prevalence rate of birth defect was 94.4 per ten thousands and showed a descending tendency. The prevalence rate of birth defect was reduced by 57.3 per ten thousands in the year 2007 compared with the year 2001. Birth defect categories mainly were neural tube deformity,facial and limbs malformation. The prevalence rate of birth defect in urban areas was 58.95 per ten thousands and that in rural areas was 110, 80 per ten thousands respectively. The prevalence rate among pregnant women aged less than 20 years old was 122.45 per ten thousands and that among pregnant woman aged more than 35 years old was 115.13 per ten thousands. Conclusion Elder pregnant women, pregnant women in rural areas are high risk population of birth defects and more prevention work should be done for them. The prevalence rate showed a descending tendency in Weinan city,which is lower than that in Shaanxi province. Doing pregestational and gestational health work well, extending supplementary use of folic acid, strengthening training of prenatal diagnostic techniques for MCH workers, especially those B-mode ultrasonographic physicians, raising prenatal diagnosis rate are the keys to lower the prevalence rate of birth defect.
出处
《中国妇幼健康研究》
2008年第5期436-438,共3页
Chinese Journal of Woman and Child Health Research
关键词
出生缺陷
监测
分析
质量控制
birth defect
monitoring
analysis
quality control
