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目的通过对有北京市特色的出生缺陷医院监测与人群监测模式下的监测资料进行分析评价,探索更适合北京市的出生缺陷监测模式。方法选取北京市开展出生缺陷人群监测试点地区(西城区和怀柔区)在2010年度的出生缺陷人群监测资料与医院监测资料进行描述性分析。结果出生缺陷医院监测与人群监测在出生缺陷检出率及疾病谱上存在差异,围产期地区性医院监测基本可反映同期同地区人群出生缺陷发生水平,将监测期限延至生后1岁对全面了解出生缺陷尤其严重影响功能的非体表缺陷的真实发生情况有重要意义。结论出生缺陷医院监测与人群监测模式各有利弊,可将资源优化整合并适当延长人群监测期限。
OBJECTIVE: To analyze and evaluate the monitoring data of hospital-based monitoring and crowd monitoring models with birth defects in Beijing and to explore a monitoring model more suitable for birth defects in Beijing. Methods A descriptive analysis was conducted on monitoring data of population-based birth defects and hospital surveillance data in Beijing pilot areas for monitoring birth defects (Xicheng District and Huairou District) in 2010. Results Birth defects Hospital monitoring and population monitoring in the detection rate of birth defects and disease spectrum differences, perinatal regional hospital monitoring can basically reflect the same period in the same area population birth defects, the monitoring period is extended to 1 year after birth to a comprehensive It is important to understand the true occurrence of non-surface defects that have a particular impact on birth defects. Conclusions There are advantages and disadvantages of birth defects hospital monitoring and crowd monitoring modes, which can optimize and integrate the resources and extend the monitoring period appropriately.