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目的:了解天门市出生缺陷的发生率及相关因素,为有关部门制定干预措施提供依据。方法:对天门市2007～2010年期间出生缺陷新生儿的监测资料进行系统性分析。结果:4年总缺陷发生率为177.69/万,出生缺陷前5位依次为总唇裂(25.25/万)、外耳畸形(18.06/万)、多指(趾)(14.45/万)、先天性心脏病(11.56/万)、先天性脑积水(10.84/万)。总唇裂、外耳畸形持续处于较高水平,先天性心脏病的发生率明显增加。结论:天门市降低出生缺陷发生率的重点是总唇裂的防治、人口性别比例的控制、高龄孕产妇的管理。
Objective: To understand the incidence of birth defects and related factors in Tianmen and provide the basis for relevant departments to make interventions. Methods: A systematic analysis was conducted on the monitoring data of neonates with birth defects during 2007-2010 in Tianmen. Results: The incidence of total defects in 4 years was 177.69 / million. The top 5 birth defects were total cleft lip (25.25 / million), external ear deformity (18.06 / million), multiple fingers (14.45 / million), congenital heart Disease (11.56 / million), congenital hydrocephalus (10.84 / million). The total cleft lip, the outer ear deformity sustained at a high level, the incidence of congenital heart disease increased significantly. Conclusion: Tianmen reduce the incidence of birth defects focus on the prevention and treatment of total cleft lip, the sex ratio of population control, the management of older pregnant women.