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本组自1986年10月~1992年9月在青海省22所医院内进行6年出生缺陷动态监测、共监测围产儿68932例,检出畸形儿684例,出生缺陷发生率9.92‰,城市发生率11.01%,农村发生率9.41‰,牧区发生率7.48‰。自1986年开始动态监测、出生缺陷发生率逐年下降,由22.66‰下降至5.29‰(1992年)。出生缺陷发生顺位:第一,领面部、畸形195例占28,6%,其中唇裂、腭裂110例居多数;第二,中枢神经系统畸形176例占25.8%;第三,肌肉骨骼系统畸形169例占24.8%;第四,泌尿生殖系统畸形42例占6.2%;第五,消化系统畸形34例占4.9%,末组有6种畸形发生率最高,依次为①唇裂、腭裂;②多指(趾);③脑积水;④马蹄内、外翻;⑤无脑儿;⑥开放性脊柱裂。本组围产儿死亡158例,死亡率230.99‰。
The group from 1986 October to 1992 September in 22 hospitals in Qinghai Province, 6-year dynamic monitoring of birth defects, monitoring a total of 68,932 perinatal children, detected 684 cases of deformed children, the incidence of birth defects 9.92 ‰, The urban incidence rate was 11.01%, the rural incidence rate was 9.41%, and the pastoral area rate was 7.48%. Since the beginning of dynamic monitoring in 1986, the incidence of birth defects has been declining from 22.66 ‰ to 5.92 ‰ (1992). Birth defect occurred in the same order: First, the collar department, deformity 195 cases accounted for 28.6%, of which cleft lip and cleft palate 110 cases the majority; second, 176 cases of central nervous system malformations accounted for 25.8%; third, musculoskeletal 169 cases of systemic malformations accounted for 24.8%; Fourth, 42 cases of genitourinary system malformations accounted for 6.2%; Fifth, 34 cases of digestive system malformations accounted for 4.9%, the final group of 6 kinds of deformities highest incidence, followed by ① cleft lip, cleft palate; ② fingers (toe); ③ hydrocephalus; ④ horseshoe, valgus; ⑤ no brain children; ⑥ open spina bifida. 158 cases of perinatal death in this group, the mortality rate of 230.99 ‰.