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目的:了解如东县出生缺陷发生现状,为制定干预措施提供依据。方法:对如东县2008年～2010年27所乡镇医院和2所县级接产医院的出生缺陷监测资料进行分析。结果:3年间如东县出生缺陷发生率为4.09‰,2008年为4.87‰,2009年为3.52‰,2010年为3.93‰,出生缺陷前5位依次为唇裂合并腭裂、多指(趾)、唇裂、先天性脑积水、先天性心脏病。结论:如东县出生缺陷发生率低于全国及全省水平,近3年无趋势性改变。应重点加强出生缺陷三级预防工作,做好孕前、孕期保健、产前筛查及产前诊断工作,降低缺陷儿的出生率,提高出生人口素质。
Objective: To understand the status quo of birth defects in Rudong County and provide the basis for formulating intervention measures. Methods: The surveillance data of birth defects in 27 township hospitals and 2 county-level delivery hospitals in Rudong from 2008 to 2010 were analyzed. Results: The incidence of birth defects in Rudong County was 4.09 ‰ in 2008, 4.87 ‰ in 2008, 3.52 ‰ in 2009 and 3.93 ‰ in 2010. The top five birth defects were cleft lip combined with cleft palate, multifinger, Cleft lip, congenital hydrocephalus, congenital heart disease. Conclusion: The incidence of birth defects in Rudong County is lower than that of the whole country and the whole province. There is no trend change in the past three years. Priority should be given to strengthening tertiary prevention of birth defects, doing pre-pregnancy and prenatal care, prenatal screening and prenatal diagnosis, reducing the birth rate of defective children and improving the quality of the birth population.