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目的开展出生缺陷监测,掌握文山州严重、高发出生缺陷的发生率变化趋势,为病因学提供线索,为制定和评价预防措施提供依据。方法在全州8个县(市)16家县级医疗保健机构中开展出生缺陷监测工作,其中含2个国家级监测点。收集2013年、2014年监测相关数据资料进行分析。结果文山州出生缺陷监测工作质量有待提高,城镇发生率高于农村,男性高于女性,多指(趾)、先天性心脏病、马蹄足内翻、唇腭裂发生率较高,孕母年龄<20岁或>35岁出现增高趋势。孕母在孕早期有致胎儿畸形的相关风险因素所占比例较高。结论文山州出生缺陷发生率逐年增高,监测质量有待加强。
Objective To carry out the monitoring of birth defects and grasp the changing trend of the incidence of serious and high birth defects in Wenshan Prefecture and provide clues for etiology and provide basis for the formulation and evaluation of preventive measures. Methods The monitoring of birth defects was carried out in 16 county-level health care institutions in 8 counties (prefectures) of the whole country, including 2 national-level monitoring points. We collect the monitoring data of 2013 and 2014 for analysis. Results The quality of birth defects monitoring in Wenshan prefecture needs to be improved. The incidence of urban areas is higher than that of rural areas. The prevalence of malnutrition is higher in males than in females, patients with multiple fingers, congenital heart disease, 20-year-old or> 35-year-old increased trend. Pregnant mothers have a higher proportion of risk factors related to fetal malformations in early pregnancy. Conclusion The prevalence of birth defects in Wenshan Prefecture is increasing year by year, and the quality of monitoring needs to be strengthened.