论文部分内容阅读
目的了解2008-2015年怀化市出生缺陷发生的流行病学特征,为怀化市制定出生缺陷干预措施提供依据。方法按照卫生部《中国妇幼卫生监测方案》对怀化市36家医院进行围产儿出生缺陷监测,对其8年资料进行统计和分析。结果 2008-2015年怀化市监测出生缺陷率平均113.34/万,最低为2008年91.14/万,最高为2012年122.08/万,8年间比较差异有统计学意义;2013年起先天性心脏病位居出生缺陷发生首位,其发生率逐年呈上升趋势;男性出生缺陷率明显高于女性,<20岁组和>35岁组孕母出生缺陷发生率显著高于20~35岁组,差异均有统计学意义。结论怀化市监测出生缺陷率逐年升高,以先天性心脏病的发生最为突出,建议加强遗传优生宣教力度,提升产前筛查、产前诊断技术水平,规范孕产妇保健服务,减少出生缺陷儿的发生。
Objective To understand the epidemiological characteristics of birth defects in Huaihua City from 2008 to 2015 and provide the basis for formulating birth defects intervention in Huaihua City. Methods According to the “Maternal and Child Health Surveillance Program” of Ministry of Health, 36 hospitals in Huaihua City were monitored for birth defects and the data of 8 years were collected and analyzed. Results In 2008-2015, the average rate of birth defects monitored in Huaihua was 113.34 / million, the lowest was 91.14 / million in 2008 and the highest was 122.08 / million in 2012. The difference was statistically significant in 8 years; in 2013, the incidence of congenital heart disease The incidence of birth defects in the first place, the incidence increased year by year; male birth defects were significantly higher than women, <20 years old and> 35 years old pregnant women with a significantly higher incidence of birth defects than 20 to 35 years old, the difference was statistically Significance of learning. Conclusions The monitoring birth defect rate in Huaihua City has been increasing year by year, with the most prominent occurrence of congenital heart disease. It is suggested to strengthen the prenatal education, increase the level of prenatal screening and prenatal diagnosis, standardize the maternal health care and reduce the birth defects happened.