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目的:了解长春地区围产儿出生缺陷发生动态变化趋势,及时发现可疑危险因素,为政府和卫生行政部门制定减少出生缺陷的干预措施提供科学依据。方法:按国家出生缺陷监测中心要求对2005~2008年长春地区53家医院出生的围产儿进行监测。结果:①53家医院共监测围产儿184 571例,其中出生缺陷1 659例,出生缺陷发生率89.884/万,围产儿死亡1 935例,死亡率104.837/万。②孕母年龄35岁及以上的出生缺陷发生率为108.837/万,高于其他年龄段。结论:加强孕前保健宣传和产前筛查,避免和减少出生缺陷发生,提高出生人口素质,降低围产儿死亡率。
OBJECTIVE: To understand the dynamic changes of birth defects in perinatals in Changchun and find out the suspicious risk factors in time, so as to provide a scientific basis for the government and health administrative departments to make interventions to reduce birth defects. Methods: According to the requirements of the National Birth Defective Monitoring Center, the perinatal children born in 53 hospitals in Changchun area from 2005 to 2008 were monitored. Results: ①The total number of perinatal children in the 53 hospitals was 184 571, of which 1 659 were born defects, 89.884 per 100 000 birth defects, 1 935 perinatal deaths and 104.837 deaths per 100 000 births. ② The incidence of birth defects of pregnant women aged 35 and over was 108.837 / million, higher than other age groups. Conclusion: To strengthen antenatal care before pregnancy screening and prenatal screening to avoid and reduce birth defects, improve the quality of the birth population and reduce perinatal mortality.