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目的全面了解郫县地区出生缺陷的发生状况,探索出生缺陷人群监测与医院监测的异同。方法依照《中国出生缺陷人群监测方案》,四川省成都市2008-2010年开展了出生缺陷人群监测工作,选取对城镇与乡村具有代表性的郫县地区作为监测点之一进行了调查,并与同期医院出生缺陷监测结果进行对比。结果 2009年、2010年以及2008-2010年整体人群监测出生缺陷发生率都明显高于医院监测出生缺陷发生率;并且2008-2010年期间,通过延长出生缺陷监测时间至生后42天后,缺陷的发生率较医院监测缺陷发生率分别增加3.3%、10.8%及15.4%。因此2008-2010年间总的出生缺陷儿发生率增加9.9%。结论人群监测不仅逐步获得准确、可靠并能反映监测地区实际状况的主要出生缺陷基本信息,并且可动态观察主要出生缺陷发生情况,为制定出生缺陷的预防措施、评价干预效果和政府部门制定预防出生缺陷的卫生决策提供依据。
Objective To comprehensively understand the occurrence of birth defects in Shexian County and to explore the similarities and differences between birth defects monitoring and hospital monitoring. Methods According to the monitoring program of Chinese population of birth defects, the monitoring of birth defects population was carried out in Chengdu, Sichuan Province during 2008-2010. The survey was conducted on one of the monitoring sites in Shexian County, which is representative of urban and rural areas. Over the same period the hospital birth defects monitoring results were compared. Results The incidence of birth defects monitored by the general population in 2009, 2010 and 2008-2010 were significantly higher than those monitored by the hospital in the incidence of birth defects; and during 2008-2010, by extending the monitoring period of birth defects to 42 days after birth, The incidence of hospital surveillance defects increased by 3.3%, 10.8% and 15.4% respectively. As a result, the overall incidence of birth defects increased by 9.9% between 2008 and 2010. Conclusion The monitoring of population not only gradually acquired the basic information of birth defects that is accurate and reliable but also reflects the actual status of the area under surveillance, and can dynamically observe the occurrence of major birth defects, provide preventive measures for the development of birth defects, evaluate the effectiveness of interventions and make preventions of birth Defective health decisions provide the basis.