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目的分析2007—2011年灌南县出生缺陷发生情况,为制定干预措施提供科学决策依据。方法根据《中国妇幼卫生监测统计工作手册》要求,对37 680例围产儿监测资料进行系统性分析。结果灌南县出生缺陷发生率为4.94‰;出生缺陷类型前5位依次为唇裂、指趾畸形、唇腭裂、神经系统畸形、小耳;出生缺陷儿男性明显多于女性;不同年龄产妇缺陷儿发生率间差异有统计学意义。结论灌南县控制出生缺陷发生率取得一定成效。应进一步完善三级预防措施,加强保健队伍培训,加大健康教育力度,降低出生缺陷发生率。
Objective To analyze the incidence of birth defects in Guannan County from 2007 to 2011 and provide scientific basis for making interventions. Methods According to the requirements of the “Manual of Surveillance of MCH Surveillance in China”, the data of 37 680 perinatal children were systematically analyzed. Results The incidence of birth defects in Guannan was 4.94 ‰. The top five birth defects were cleft lip, digit deformity, cleft lip and palate, nervous system malformations and small ears. The number of birth defects was significantly higher in males than in females. The difference between the rates was statistically significant. Conclusion Guannan County has a certain effect in controlling the incidence of birth defects. Third-level prevention measures should be further improved, health-care team training should be strengthened, health education should be stepped up, and the incidence of birth defects should be reduced.