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目的对包头市昆区出生缺陷监测结果进行分析,了解出生缺陷的种类、分布及其影响因素,为制定干预措施提供依据。方法按照《中国出生缺陷监测方案》的要求,对我区2005年～2008年在监测医院分娩的18311例围产儿的出生缺陷监测资料进行系统性分析。结果共监测到出生缺陷147例,出生缺陷总发生率为8.03‰,前3位出生缺陷依次为总唇裂、神经管缺陷、多指(趾);近几年出生缺陷发生率呈上升趋势,围产儿发生缺陷的比率男性(9.48‰)高于女性(6.39‰)。结论从提高人们对婚检的认识入手提高婚前体检率,进一步加强孕产妇保健系统管理,提高产前诊断水平,积极开展健康教育,加大优生优育科普知识宣传的力度和广度,以降低出生缺陷发生率,减少残疾儿的出生。
Objective To analyze the monitoring results of birth defects in Queensland area of Baotou to understand the types, distribution and influential factors of birth defects, and to provide the basis for making interventions. Methods According to the requirements of “China Birth Defects Monitoring Program”, we systematically analyzed the monitoring data of the birth defects of 18,311 perinatal children in our hospital from 2005 to 2008 in our hospital. Results A total of 147 cases of birth defects were detected. The total incidence of birth defects was 8.03 ‰. The first three birth defects were total cleft lip and neural tube defects and multiple fingers. In recent years, the incidence of birth defects showed an upward trend. The rate of birth defects in males (9.48 ‰) is higher than that of females (6.39 ‰). Conclusion From the perspective of improving people’s understanding of premarital examination, we should increase premarital medical examination rate, further strengthen maternal health care system management, raise the level of prenatal diagnosis, actively carry out health education, intensify the propaganda of prenatal and postnatal care knowledge, and reduce birth defects Rate, reduce the birth of disabled children.