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目的了解县级医疗保健机构围产儿出生缺陷5年的变化趋势,制定干预措施。方法对2004年-2008年县级医疗保健机构围产儿出生缺陷资料进行分析。结果出生缺陷发生率为4.32‰,出生缺陷前5位依次为:唇腭裂、多指与外耳畸形、神经管缺陷与马蹄内翻足、并趾(指)、先天性心脏病与肢体短缩,占出生缺陷总数的80.68%。出生缺陷发生与毒物接触、早孕感冒、服药等有关;25岁以后随产母年龄成正比;与性别、城乡无差异。结论大力实施干预措施,积极开展出生缺陷的三级预防,提高监测质量,减少缺陷儿的发生,提高出生人口素质。
Objective To understand the trend of perinatal birth defects in county-level health care institutions in five years and to develop intervention measures. Methods The data of birth defects of perinatal children in county-level health care institutions from 2004 to 2008 were analyzed. Results The incidence of birth defects was 4.32 ‰. The top five birth defects were as follows: cleft lip and palate, multiple fingers and external ear deformity, neural tube defects and clubfoot, toe (finger), congenital heart disease and limb shortening, Accounting for 80.68% of the total number of birth defects. Birth defects and poison contact, early pregnancy cold, medication and other related; after age 25 with mother’s age is proportional to; and gender, urban and rural no difference. Conclusion Vigorously implement the intervention measures, actively carry out the tertiary prevention of birth defects, improve the quality of monitoring, reduce the incidence of defective children and improve the quality of the birth population.