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目的分析2014年浙江省瑞安市出生缺陷的发生情况及相关因素,提出干预措施,以减少出生缺陷的发生,提高人口素质。方法对2014年瑞安市各监测单位上报的413例出生缺陷进行回顾性分析。结果 2014年瑞安市分娩总数24 297例,其中出生缺陷413例,出生缺陷的发生率为17.00‰;413例出生缺陷中单发畸形389例,多发畸形24例,共439畸次,出生缺陷儿前3位的缺陷类型是先天性心脏病、泌尿生殖系统畸形和多指并指(趾);出生缺陷与无出生缺陷围产儿间产妇年龄分布的差异有统计学意义(χ~2=6.136,P<0.05),出生缺陷围产儿中<20岁产妇比例较高。结论出生缺陷的干预以预防为主,加强宣教及孕期保健,努力降低我市出生缺陷的发生率。
Objective To analyze the incidence and related factors of birth defects in Rui’an City of Zhejiang Province in 2014 and propose intervention measures to reduce the incidence of birth defects and improve the population quality. Methods Retrospective analysis was performed on 413 birth defects reported by various monitoring units in Rui’an City in 2014. Results The total number of childbirth in Ruian was 24 297 in 2014, of which 413 were born defects and the incidence of birth defects was 17.00 ‰. Among 413 birth defects, 389 had single birth defects, 24 had multiple birth defects, 439 births and birth defects The first three types of defects were congenital heart disease, genitourinary system malformations and multiple finger and finger (toe). There was significant difference in the age distribution of the babies between birth defects and non-birth defects (χ ~ 2 = 6.136, P <0.05). The proportion of women <20 years of age in perinatal infants with birth defects was higher. Conclusion The intervention of birth defects mainly focuses on the prevention, and strengthens the propaganda and the health care during pregnancy, and strives to reduce the incidence of birth defects in our city.