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目的分析围产儿出生缺陷情况,了解其动态变化,进一步做好出生缺陷防控工作。方法对昌吉州2005年-2013年监测医院出生的孕28周至生后7天的围产儿按照国家出生缺陷监测方案进行监测。结果共监测99 150例围产儿,缺陷儿733例,出生缺陷总发生率为73.92/万,出生缺陷在2010年呈现高峰,2005年~2010年呈上升趋势,2011年~2013年逐年下降。主要缺陷类型是总唇裂、多指(趾)、神经管缺陷、先天性心脏病、马蹄足内翻。结论 2005年~2013年昌吉州围产儿出生缺陷发生率处较高水平,提示应深入研究出生缺陷致畸因素,普及健康教育,加强三级预防措施,降低出生缺陷发生水平,做好优生优育工作。
Objective To analyze the situation of birth defects in perinatal children and understand their dynamic changes so as to further prevent and control birth defects. Methods The perinatal children born in Surveillance Hospital of Changji from 2005 to 2013 and from the 28th week to the 7th day after birth were monitored according to the national birth defects monitoring program. Results A total of 99150 cases of perinatal and defective children were monitored. The total incidence of birth defects was 73.92 / million. Birth defects peaked in 2010 and increased from 2005 to 2010, and decreased from 2011 to 2013 respectively. The main types of defects are total cleft lip, multiple fingers (toe), neural tube defects, congenital heart disease, clubfoot varus. Conclusions The high incidence of perinatal birth defects in Changji prefecture between 2005 and 2013 suggests that teratogenic factors of birth defects, universal health education should be popularized, tertiary prevention measures should be strengthened, the incidence of birth defects should be reduced, and good prenatal and postnatal care should be done .