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目的了解探讨出生缺陷的产前检查发生动态变化调查相关因素,及干预措施,从而降低其发生率。方法对全市区内所开展助产技术的单位中住院分娩的围产儿,其中2005-2008年,对61例出生缺陷儿的产科检查情况,诊断时间及出生缺陷儿的转归等资料进行分析。结果61例出生缺陷新生儿中产前B超诊断阳性15例,其余均在分娩后诊断,在医疗干预治疗性引产9例,7d内出生缺陷新生儿死亡20例,自然流产2例。结论重点要加强孕前、孕期、和产前检查及保健及时干预,围婚期保健更不能忽视,可以减少缺陷发病率。
Objective To investigate the factors related to the investigation of the dynamic changes of prenatal diagnosis of birth defects and the intervention measures to reduce the incidence. Methods From 2005 to 2008, 61 cases of birth defects in obstetrics and gynecology were surveyed, and the obstetric examination, diagnosis time and the outcome of children with birth defects were analyzed. Results 61 cases of neonatal birth defects in prenatal diagnosis of B-positive in 15 cases, the rest were diagnosed after childbirth, medical intervention in the treatment of induced abortion in 9 cases, birth defects within 7 days neonatal death in 20 cases, 2 cases of spontaneous abortion. Conclusion The focus should be strengthened before pregnancy, pregnancy, prenatal care and timely intervention of health care, care during marriage can not be ignored, can reduce the incidence of defects.