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目的了解鹿泉市出生缺陷的发生情况,找出影响因素,提出干预措施。方法依照《中国出生缺陷监测方案》,利用妇幼保健三级网络对2006~2013年在鹿泉市妇幼保健院分娩的产妇及其围产儿的资料进行统计分析。结果 2006~2013年鹿泉市出生缺陷平均发生率为8.08‰,发生率呈逐年上升趋势,2013年前5位出生缺陷顺位为:先天性心脏病、指(趾)畸形、外耳畸形、唇腭裂、神经管畸形。产妇年龄≥35岁时出生缺陷发生率的危险性明显增加(P﹤0.05)。结论应加强宣传教育,引导妇女适龄生育,加强婚前、孕前保健,重视产前检查和产前诊断,降低出生缺陷的发生率。
Objective To understand the occurrence of birth defects in Luquan City, find out the influencing factors and put forward the intervention measures. Methods According to “China Birth Defective Surveillance Program”, the data of maternal and perinatal delivery in Maternal and Child Health Hospital of Luquan City from 2006 to 2013 were statistically analyzed by using three levels of maternal and child health care network. Results The average incidence of birth defects in Luquan from 2006 to 2013 was 8.08 ‰, with a rising rate year by year. The top five birth defects in 2013 were congenital heart disease, deformity of the digits, external ear deformity, lip Cleft palate, neural tube defects. The risk of birth defects was significantly increased at maternal age> 35 years (P <0.05). Conclusions Publicity and education should be stepped up to guide women in childbearing at appropriate ages, strengthen premarital and prenatal care, attach importance to prenatal examination and prenatal diagnosis, and reduce the incidence of birth defects.