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目的:调查吉林省内中朝边境出生缺陷情况,为今后衡量其他不利因素对出生缺陷的影响程度以及对出生缺陷的预防工作提供一定的依据。方法:将延边、白山、通化3个边境市内接壤朝鲜的10县的医院和妇幼保健院作为监测医院,监测住院分娩的孕满28周至产后满7天的围产儿,逐级上报,由省妇幼保健院汇总。结果:2005～2010年共监测围产儿55 371例,出生缺陷509例,平均出生缺陷发生率为9.19‰,3个地区总出生缺陷发生率呈波浪上升趋势,2010年为11.23‰,先心病发病率由2005年的0.27‰上升至2010年的1.24‰。延边地区的边境县出生缺陷发生率明显高于白山和通化地区。结论:应坚持贯彻出生缺陷的三级预防原则,从根本上提高出生人口素质。
Objective: To investigate the birth defects in the border between China and North Korea in Jilin Province, and to provide some evidences for measuring the impact of other unfavorable factors on birth defects in the future and the prevention of birth defects. Methods: 10 hospitals and maternity and child care centers in 10 counties bordering North Korea in Yanbian, Baishan and Tonghua cities were monitored as monitoring hospitals. The perinatal infants born from 28 weeks of pregnancy to 7 days after birth were monitored for hospital delivery. Maternal and child health centers summary. Results: From 2005 to 2010, 55 371 perinatal infants and 509 birth defects were detected. The average incidence of birth defects was 9.19 ‰. The incidence of total birth defects in three districts showed a wave upward trend, with a rate of 11.23 ‰ in 2010. The incidence of CHD The rate rose from 0.27 ‰ in 2005 to 1.24 ‰ in 2010. The incidence of birth defects in border areas in Yanbian was significantly higher than that in Baishan and Tonghua areas. Conclusion: The three-level prevention principle of birth defects should be adhered to and the quality of birth population should be fundamentally improved.