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目的:对黄石市出生缺陷儿童资料进行整理分析,对出生缺陷儿童治疗转归、后续治疗及存在问题进行分析,为进一步做好出生缺陷儿童管理工作提供决策依据。方法:将出生缺陷儿童列入专案管理,根据疾病分类不同制定相应的防治方案,建立专案管理记录,积极治疗,制定启动早期干预方案并定期随访、观察和复查。结果:当地儿童出生缺陷发生率明显高于流动儿童,差异有统计学意义(P<0.05);2013年结案率较前两年有所下降,各年份之间比较差异均有统计学意义(P<0.05)。结论:出生缺陷与孕妇健康及孕期保健质量密切相关,孕前优生健康检查是出生缺陷一级预防的重要手段,是低成本高效益的预防措施。
OBJECTIVE: To analyze the data of children with birth defects in Huangshi City, analyze the treatment outcome, follow-up treatment and existing problems in children with birth defects, and provide the basis for further decision-making on the management of children with birth defects. Methods: The children with birth defects were included in the project management. According to the classification of the disease, corresponding prevention and control programs were formulated. Project management records were established and active treatment was initiated. Early intervention programs were initiated and regularly followed up, observed and reviewed. Results: The incidence of local birth defects in local children was significantly higher than that in floating children (P <0.05). The settlement rate in 2013 was lower than that in the previous two years, with significant differences between years (P <0.05). Conclusion: Birth defects are closely related to the health of pregnant women and the quality of health care during pregnancy. Prenatal health checkup is an important means of primary prevention of birth defects and a preventive measure with low cost and high benefit.