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目的:分析玉林市2012年围生儿出生缺陷状况,为围生儿出生缺陷预防措施的制定提供依据。方法:对2012年玉林市围生儿出生缺陷监测月报表进行回顾性统计分析。结果:2012年玉林市监测围生儿146 366例,出生缺陷976例(6.67‰);前5位出生缺陷类型依次为:胎儿水肿综合征(15.27%)、唇裂合并腭裂(11.37%)、唇裂(8.71%)、先天性脑积水(4.30%)、先天性心脏病(4.10%);出生缺陷儿畸形产前确诊304例(31.15%),产后7天内确诊672例(68.85%);产前诊断为缺陷后治疗性引产278例(28.48%),活产342例(35.04%),死胎285例(29.20%),死产23例(2.36%),7天内死亡53例(5.43%)。结论:围生儿出生缺陷产前确诊率较低,活产率较高。应提高出生缺陷产前确诊率和缺陷儿畸形治疗性引产率,以降低活产率,提高出生人口素质。
Objective: To analyze the status of perinatal birth defects in Yulin City in 2012, and provide the basis for the formulation of preventive measures for perinatal birth defects. Methods: A retrospective statistical analysis was made on the monthly report on monitoring of birth defects in Yulin City in 2012. Results: 146 366 cases of perinatal and 976 cases of birth defects (6.67 ‰) were detected in Yulin City in 2012. The first five birth defects were fetal edema syndrome (15.27%), cleft palate (11.37%), cleft lip (8.71%), congenital hydrocephalus (4.30%) and congenital heart disease (4.10%). Prenatal diagnoses of birth defects were confirmed in 304 cases (31.15%) and 672 cases (68.85%) were diagnosed within 7 days after delivery. Among them, 278 (28.48%) were induced abortion, 342 (35.04%) live births, 285 (29.20%) stillbirths, 23 (2.36%) stillbirths and 53 (5.43%) deaths within 7 days. . Conclusion: Prenatal diagnosis of perinatal birth defects is low and the live birth rate is high. The rate of prenatal diagnosis of birth defects and the treatment of defective children should be improved to reduce the live birth rate and improve the quality of the birth population.