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目的:提高新生儿疾病筛查率,降低患儿漏诊率,采取家庭努力,政府救助措施,有效提高出生人口健康素质。方法:通过政府文件、专项会议及依法宣教行为,在铁岭市助产机构推行新生儿疾病〔苯丙酮尿症(PKU)和先天性甲状腺功能低下(CH)〕筛查。具体筛查方法按卫生部《新生儿疾病筛查技术规范》执行。结果:自2002年9月~2008年9月筛查新生儿62976例,筛查率46.6%,筛查出PKU患儿9例,发病率为1.43万/;CH患儿8例,发病率为1.27万/。结论:提高筛查率可以避免漏诊,积极配合治疗,实行可行的政府救助,是落实和实现出生缺陷三级预防措施的根本保证。
Objective: To improve screening rate of neonatal diseases, reduce the rate of misdiagnosis in children, and take family efforts and government rescue measures to effectively improve the health quality of the birth population. Methods: Neonatal diseases (phenylketonuria (PKU) and congenital hypothyroidism (CH)) screening were carried out in midwifery institutions in Tieling through government documents, special meetings and legal missionary activities. Specific screening methods according to the Ministry of Health “Neonatal Screening Disease Technical Code” implementation. Results: From September 2002 to September 2008, 62,976 newborns were screened, with a screening rate of 46.6%. Nine children with PKU were screened out with a prevalence of 14,300 / 12,700 /. Conclusion: Increasing the screening rate can avoid misdiagnosis, actively cooperate with treatment and practicing feasible government aid, which is the fundamental guarantee for implementing and implementing the tertiary prevention measures of birth defects.