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目的了解宁海县2005~2014年围产儿出生缺陷发生情况及其影响因素,为制定相应的干预措施提供科学依据。方法对2004年10月1日~2014年9月30日宁海县所有接生的县级、镇(乡)卫生院住院分娩孕满28周至产后7天内的68 074例围产儿进行出生缺陷监测,对十年总体发生情况、不同性别、产母不同年龄等情况进行回顾性分析。结果十年间共监测围产儿68 074例,发生出生缺陷975例,发生率14.32‰,呈逐年上升。前五位出生缺陷类型为先天性心脏病、多指(趾)、唇腭裂、先天性脑积水、肾脏畸形。先天性心脏病的发生率升高明显,由2005年的1.13‰,上升至2014年的36.73‰。结论加强出生缺陷三级预防的整合,降低出生缺陷的发生率,改善儿童健康状况。
Objective To understand the incidence of neonatal birth defects and its influencing factors from 2005 to 2014 in Ninghai County, and to provide a scientific basis for formulating the corresponding intervention measures. Methods From October 1, 2004 to September 30, 2014, all births in Ninghai county county, township (township) hospitals were born 28 weeks pregnant to 28 074 postpartum within 68 074 cases of perinatal monitoring of birth defects, The overall incidence of ten years, different genders, different ages of mother and child were retrospectively analyzed. Results A total of 68 074 cases of perinatal children were monitored during the past 10 years. There were 975 cases of birth defects occurring at a rate of 14.32 ‰, showing a year-on-year increase. The top five birth defects are congenital heart disease, multiple fingers (toe), cleft lip and palate, congenital hydrocephalus, and kidney malformations. The incidence of congenital heart disease increased significantly from 1.13 ‰ in 2005 to 36.73 ‰ in 2014. Conclusions Strengthen the integration of tertiary prevention of birth defects, reduce the incidence of birth defects and improve the health status of children.