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目的分析无棣县2010-2015年围产儿出生缺陷监测以及相关因素,进而为降低围产儿出生缺陷率,提高围产儿出生质量提供客观依据。方法选取2010-2015年于无棣县埕口镇计划生育与妇幼保健服务站分娩的围产儿9780例孕产妇及围产儿,对围产儿出生结果进行分析,并针对产妇孕周、产检次数、孕产妇年龄等相关因素进行探讨。结果围产儿出生缺陷发生率每年均在1.04/%左右,其中出生缺陷种类前四位分别为脑积水、先天性心脏病、肢体畸形、泌尿生殖系统缺陷。与围产儿缺陷密切相关的因素包括孕产妇年龄、产妇地区、产检次数、妊娠期用药时间、妊娠高血压综合征以及妊娠糖尿病,差异均具有统计学意义(P<0.05)。结论临床需对孕产妇产检次数、孕周、妊娠期用药及妊娠高血压综合征、妊娠糖尿病等因素进行针对性干预,加强围产期保健的实施力度,全面开展妊娠期健康教育工作,提高预防保健意识,从根本上降低围产儿出生缺陷发生率,全面提高出生质量,提高人口素质。
Objective To analyze the monitoring of birth defects and its related factors during 2010-2015 in Wudi County, so as to provide an objective basis for reducing the birth defects rate and improving the birth quality of perinatal children. Methods A total of 9,780 perinatal and perinatal children perinatally delivered at Family Planning and Maternal and Child Health Services Station, Qiaokou Town, Wudi County from 2010 to 2015 were selected to analyze the results of perinatal birth. The gestational age, Maternal age and other related factors to be explored. Results The incidence of perinatal birth defects was about 1.04% per year, of which the first four types of birth defects were hydrocephalus, congenital heart disease, limb deformities and genitourinary system defects. Factors closely related to perinatal defects include maternal age, maternal area, number of births, duration of pregnancy, pregnancy induced hypertension and gestational diabetes mellitus, the differences were statistically significant (P <0.05). Conclusions Clinic need to make targeted interventions on the number of maternal births, gestational weeks, pregnancy medication and pregnancy-induced hypertension syndrome, gestational diabetes mellitus and other factors, strengthen the implementation of perinatal health care, comprehensively carry out health education during pregnancy, and improve prevention Health care awareness, fundamentally reduce the incidence of birth defects, improve the overall quality of birth, improve the quality of the population.