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目的了解项目地区人群出生缺陷发生情况,探讨北京市出生缺陷监测管理模式。方法按项目要求于2007年10月1日至2008年9月30日对西城区、海淀区和大兴区居住满1年以上的产妇所分娩的婴儿进行出生缺陷监测及生后1年的随访工作。采用发生率描述项目地区出生缺陷发生状况并将人群监测与医院监测出生缺陷发生情况进行比较。结果北京市项目地区出生缺陷发生率为21.11‰,婴儿失访率为10.03%;出生缺陷发生率由怀孕28周至生后7天的14.58‰增加到孕28周至生后1年的21.11‰;人群监测与医院监测出生缺陷发生率及顺位均存在不同。结论延长监测时限,建立适合北京市的出生缺陷监测模式。通过加强北京市妇幼卫生信息化建设,提高北京市出生缺陷的监测质量。
Objective To understand the incidence of birth defects in the population in the project area and to explore the management mode of birth defects monitoring in Beijing. Methods According to the requirements of the project, birth defects were monitored and the follow-up of 1 year after birth was conducted in infants born in Xicheng District, Haidian District and Daxing District with maternal age of 1 year or more from October 1, 2007 to September 30, 2008 . The incidence was used to describe the incidence of birth defects in the project area and to compare the monitoring of the population with the occurrence of birth defects in hospitals. Results The incidence of birth defects in the project area of Beijing was 21.11 ‰ and that of infants was 10.03%. The incidence of birth defects increased from 14.58 ‰ of 28 weeks of pregnancy to 7 days of birth to 21.11 ‰ of 28 weeks to 1 year after birth. Surveillance and hospital monitoring of birth defects and the overall rankings are different. Conclusion To extend the monitoring period and establish a monitoring model of birth defects in Beijing. By strengthening the information construction of maternity and child health in Beijing, the monitoring quality of birth defects in Beijing will be raised.