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目的通过近10年来武汉市独生子女病残儿鉴定出生缺陷情况分析,探讨减少出生缺陷疾病再发生的防治措施。方法武汉市辖区中申请病残儿鉴定的独生子女,资料进行审查和分析,经现场体检及相关的辅助检查,专家对疾病作出鉴定结论并进行归类。结果诊断为出生缺陷441例,占38.78%。其中遗传性疾病34种346例(78.45%),非遗传性疾病27种95例(21.06%),以神经系统为主。结论出生缺陷涉及病种多,病因复杂,应根据不同原因引起的出生缺陷,寻找对应的防治措施。
OBJECTIVE: To analyze the incidence of birth defects in the only 10-year-old children with disabilities in Wuhan and to explore the prevention and treatment measures to reduce the recurrence of birth defects. Methods The only-child children applying for the disabled children in Wuhan area were reviewed and analyzed. After the on-the-spot physical examination and related auxiliary examination, the experts made the identification conclusions and classified the diseases. Results The diagnosis of 441 cases of birth defects, accounting for 38.78%. There were 346 cases (34.45%) of 34 kinds of hereditary diseases and 95 cases (21.06%) of 27 kinds of non-hereditary diseases, which were mainly nervous system. Conclusion The birth defects involve many kinds of diseases and their causes are complicated. The birth defects should be based on different causes and the corresponding prevention and control measures should be sought.