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目的了解毕节市出生缺陷的发生率及顺位,分析其与三级预防的关系,提出相应干预措施,降低毕节市出生缺陷发生率。方法对毕节市2010-2014年7家县市级监测医院的出生缺陷资料进行分析。结果 2010-2014年毕节市出生缺陷发生率为11.35‰,前5位出生缺陷是:附耳、总唇腭裂、多指(趾)、神经管畸形、先天性脑积水。结论 5年间毕节市出生缺陷监测质量不断提高,出生缺陷发生率总体呈上升趋势,产前诊断技术水平低,产前诊断率低。要针对主要出生缺陷,建立该市产前筛查和产前诊断服务体系网络,实施有效的三级预防措施,降低出生缺陷发生率。
Objective To understand the incidence and the prevalence of birth defects in Bijie City and analyze its relationship with tertiary prevention and put forward corresponding interventions to reduce the incidence of birth defects in Bijie. Methods The data of birth defects in 7 county-level monitoring hospitals in Bijie City from 2010 to 2014 were analyzed. Results The incidence of birth defects in Bijie from 2010 to 2014 was 11.35 ‰. The first five birth defects were: appendage, total cleft lip and palate, multiple fingers, neural tube defects and congenital hydrocephalus. Conclusions The quality of birth defects monitoring in Bijie increased continuously during the five years. The incidence of birth defects generally showed an upward trend. The level of prenatal diagnosis was low and the rate of prenatal diagnosis was low. To address the major birth defects, establish a prenatal screening and prenatal diagnostic service network in the city and implement effective tertiary prevention measures to reduce the incidence of birth defects.