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目的了解济南市历城区出生缺陷发生情况及影响因素,为妇幼保健部门制定相应干预措施提供依据。方法选择2007-2012年在历城区具有助产技术资质的医院住院分娩的33 274例围产儿,回顾性分析出生缺陷发生情况,比较不同区域和性别出生缺陷发生情况。结果 33 274例围产儿中,出生缺陷儿195例,发生率5.86‰。出生缺陷前5位依次为:总唇裂、先天性心脏病、神经管畸形,多指(趾)、马蹄内翻足。农村围产儿出生缺陷发生率高于城镇(P<0.05);围产儿出生缺陷的发生率男婴高于女婴(P>0.05)。结论加强优生优育科普知识宣传力度及广度,建设良好的社会环境及社会氛围,减少残疾儿的出生。
Objective To understand the occurrence and influencing factors of birth defects in Licheng District of Jinan City and to provide the basis for making corresponding interventions for the MCH department. Methods A total of 33 274 perinatal infants born in hospitals with midwifery qualification in Licheng District from 2007 to 2012 were retrospectively analyzed for the incidence of birth defects and the incidence of birth defects in different regions and genders were compared. Results Among 33 274 cases of perinatal infants, 195 were born with defects, the incidence rate was 5.86 ‰. The top 5 birth defects were: total cleft lip, congenital heart disease, neural tube defects, multiple fingers (toes), clubfoot. The incidence of birth defects in rural perinatal children was higher than that in urban areas (P <0.05). The incidence of perinatal birth defects was higher in male infants than in female infants (P> 0.05). Conclusion To strengthen the publicity and popularity of popular science knowledge of prenatal and postnatal care, to establish a good social environment and social atmosphere and to reduce the birth of disabled children.