论文部分内容阅读
目的:了解孝感市围产儿出生缺陷的发生情况及其影响因素,以便制定有效的干预措施,降低出生缺陷发生率,为提高出生人口素质提供可靠依据。方法:利用孝感市助产机构近两年来分娩的围产儿出生缺陷监测资料进行回顾性统计分析。结果:围产儿出生缺陷总发生率为4.47‰,两年来围产儿出生缺陷变化不明显,差异无统计学意义,孕产妇年龄大于35岁,出生缺陷发生率明显增高;男、女婴出生缺陷发生率比较差异无统计学意义;农村围产儿出生缺陷发生率明显高于城镇;孝感市围产儿出生缺陷前6位是多指/多趾、唇裂、唇腭裂、外耳畸形、先天性心脏病、马蹄内翻足;产前诊断率为16.91%;出生缺陷发生与孕前监测、遗传有一定的关系。结论:农村为出生缺陷预防的重点,应加强婚前及孕期保健的宣传,提倡婚前检查,提高围产期保健服务质量及产前诊断水平,早预防、早诊断、早处理,降低出生缺陷的发生,以提高出生人口素质。
Objective: To understand the incidence of perinatal birth defects and its influencing factors in Xiaogan City in order to formulate effective interventions to reduce the incidence of birth defects, to provide a reliable basis for improving the quality of birth population. Methods: The data of birth defects monitoring of perinatal delivery in the past two years in Xiaogan City midwifery institutions were retrospectively analyzed. Results: The total incidence of perinatal birth defects was 4.47 ‰. There was no significant difference in birth defects between perinatal children in the past two years. There was no significant difference in the birth defects between the two groups. The pregnant women older than 35 years old had a significantly higher incidence of birth defects. Birth defects occurred in both males and females The incidence of birth defects in rural perinatal children was significantly higher than that in urban areas. The top 6 birth defects in perinatal children in Xiaogan City were multifinger / toe, cleft lip, cleft lip and palate, congenital malformation, congenital heart disease, Invaded foot; prenatal diagnosis rate was 16.91%; birth defects occurred before pregnancy monitoring, genetic certain relationship. Conclusion: In rural areas, the focus of prevention of birth defects should be to strengthen premarital and prenatal care publicity, to promote premarital examination, to improve perinatal care quality of service and prenatal diagnosis, early prevention, early diagnosis and early treatment and to reduce the occurrence of birth defects , To improve the quality of the birth population.