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目的:对户籍在焦作市拟结婚和已婚符合政策生育的常住人口及流入焦作市纳入管理符合生育的流动人口进行出生缺陷干预。方法:采用国家出生缺陷干预专家组倡导的“三级干预”方法,即一级干预主要是防止出生缺陷发生,二级干预主要是减少出生缺陷发生,三级干预主要是对出生缺陷儿进行康复治疗,干预的重点是一级干预,政府买单免费实施婚前培训、婚前检查、孕前筛查、叶酸及营养素增补。结果:2007年婚前检查率较2006年增长了8倍,2008年婚前检查率较2006年增长了47.75倍;2008年婚(孕)前培训、孕前筛查、叶酸及营养素增补分别为87.07%、77.34%、79.87%,较2007年分别增长了18.05%、28.81%、16.69%;2008年全市孕产妇保健覆盖率78.77%;出生缺陷发生率呈逐年下降趋势,2007年较2006年下降了27.34%,2008年较2006年下降了45.88%;出生缺陷发生位次有所改变,2008年神经管畸形较2007年下降了48.33%。结论:实施出生缺陷干预项目效果显著,实施出生缺陷干预项目所采取的措施、方法是可行有效的。
OBJECTIVE: To make a birth defect intervention on the permanent residents who are married and married in Jiaozuo City who are married and who are in line with policy birth and into Jiaozuo City for inclusion in the management of migrants who meet the requirements of childbirth. Methods: Adopting the “three-level intervention” method advocated by the National Expert Team on Birth Defects, that is, one-level intervention is mainly to prevent birth defects, two-level interventions mainly to reduce the birth defects, three-level intervention mainly to children with birth defects Rehabilitation treatment, the focus of intervention is an intervention, the government pay for free implementation of pre-marital training, premarital screening, pre-pregnancy screening, folic acid and nutrients supplement. Results: The rate of premarital examination in 2007 increased eightfold compared with that in 2006, and the rate of premarital examination in 2008 was 47.75 times higher than that in 2006. The premarital training, screening before pregnancy, folic acid and nutrient supplement in 2008 were 87.07% 77.34% and 79.87% respectively, up by 18.05%, 28.81% and 16.69% respectively over 2007; the coverage rate of maternal health in the whole city in 2008 was 78.77%; the incidence of birth defects showed a declining trend in 2007, down by 27.34% In 2008, down 45.88% compared with that in 2006; the number of birth defects changed, and in 2008, the incidence of neural tube defects decreased by 48.33% compared with 2007. Conclusion: The implementation of the project of birth defects is significant and the measures taken to implement the project of birth defects intervention are feasible and effective.