成都市出生缺陷发生水平及流行病学分析

发布时间：2018-02-09 20:53

本文关键词： 出生缺陷围产儿监测发病率流行病学　出处：《现代预防医学》2015年10期 　论文类型：期刊论文

【摘要】：目的分析成都市2009-2013年围生儿出生缺陷现状及影响因素,有针对性地开展和完善切实可行的干预措施,以降低出生缺陷发生率。方法根据中国出生缺陷医院监测方案,采用以医院为基础的监测方法收集资料,调查对象为孕28周至产后7 d住院分娩的围生儿,包括活产、死胎和死产和7 d内死亡的新生儿。对2009年10月-2013年9月成都市出生缺陷监测系统收集的资料进行回顾性分析。结果成都市2009-2013年出生缺陷发生率为170.3/万,呈明显降低趋势。出生缺陷发生率位于前五位的分别是:外耳畸形(34.38/万),先天性心脏病(22.21/万),多指趾(19.27/万),总唇裂(9.96/万)和小耳畸形(7.79/万)。男性出生缺陷发生率(190.58/万)明显高于女性出生缺陷发生率(146.67/万)。随着孕产妇年龄的增加,出生缺陷发生率明显增高。结论成都市从2009年到2013年全部出生缺陷的发生率明显降低,但个别出生缺陷发生率有所升高。针对不同的出生缺陷种类以及影响出生缺陷发生的高危因素,制定更有针对性的干预措施,对出生缺陷发生进行有效干预,做好出生缺陷三级预防工作势在必行。
[Abstract]:Objective to analyze the present situation and influencing factors of perinatal birth defects in Chengdu from 2009 to 2013, and to carry out and perfect practical intervention measures in order to reduce the incidence of birth defects. A hospital-based monitoring method was used to collect data. The subjects were perinatal, including live births, from 28 weeks of gestation to 7 days of postpartum. The data collected by Chengdu birth defects Surveillance system from October 2009 to September 2013 were retrospectively analyzed. Results the incidence of birth defects in Chengdu from 2009 to 2013 was 1 703 / 10 000. The incidence of birth defects in the first five places were 34.38 / 10000, 22.21 / 10, 19.27 / 10 000 and 996 / 10 000 respectively. The incidence of male birth defects was 779 / 10 000. The incidence of birth defects in women was significantly higher than that in women. Conclusion from 2009 to 2013, the incidence of birth defects in Chengdu decreased significantly. However, the incidence of individual birth defects has increased. According to the different types of birth defects and the high risk factors affecting the occurrence of birth defects, more targeted interventions are made to effectively intervene the occurrence of birth defects. It is imperative to do a good job of three-level prevention of birth defects.
【作者单位】：成都市妇女儿童中心医院保健部;
【基金】：成都市社科规划研究基金资助
【分类号】：R174.1

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