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目的通过对近五年病残儿医学鉴定资料的分析,了解连云港市病残儿鉴定疾病种类构成、顺位等的变化趋势,寻找有效措施以减少病残儿的发生。方法收集2002年~2006年连云港市病残儿医学鉴定资料,分别按照《病残儿医学鉴定诊断标准及其父母再生育指导原则》及《国际疾病分类标准(ICD-10)》分类,分析病残儿发生的流行特征。结果共收集符合诊断标准的病残儿鉴定资料2244例,其中先天性疾病1864例,占83.07%,遗传性疾病1030例,占45.9%。近五年病残儿中先天性疾病所占比例有上升趋势。疾病顺位:先天性心脏病始终排列第一,其它疾病排位均有波动,唇腭裂、脑瘫有上升趋势,脑发育不良、外伤近年明显减少。结论开展有效预防措施,是降低病残儿发生率的关键。需进一步加强出生缺陷干预工作的力度,特别是重点病种的防治工作。
Objective To analyze the identification data of sick and disabled children in the recent five years and find out the change tendency of the types, rank and so on of the identified illnesses of disabled children in Lianyungang City and find effective measures to reduce the incidence of disabled children. Methods The data of medical identification of disabled children in Lianyungang City from 2002 to 2006 were collected and classified according to “Diagnostic Criteria of Medical Identification of Disabled Children and Guidelines for Their Reproduction” and “International Classification of Diseases (ICD-10)” The prevalence of residual children occurred. Results A total of 2244 cases of disability and disability identification data were collected, of which 1864 were congenital diseases, accounting for 83.07% and 1030 were genetic diseases, accounting for 45.9%. In the past five years, the proportion of children with disabilities in congenital diseases has an upward trend. The sequence of diseases: congenital heart disease always ranked first, other diseases have fluctuating positions, cleft lip and palate, cerebral palsy has an upward trend, brain dysplasia, trauma significantly reduced in recent years. Conclusion Effective prevention measures are the key to reducing the incidence of disabled children. It is necessary to further strengthen the intervention work of birth defects, especially prevention and treatment of key diseases.