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目的分析我院产科2006～2008年围生儿出生缺陷发生情况,为制定和采取预防措施提供科学决策依据。方法对围生儿出生缺陷监测进行回顾性分析。结果2006～2008围生儿出生缺陷率26.27‰(244/9289),2006年出生缺陷率为25.96‰,2007年出生缺陷率为24.03‰;2008年出生缺陷率为29.38‰,经统计学处理,差异无显著性。出生缺陷的原因分布,前5位依次为水肿综合征占33.20%、先天性心脏病占12.30%、唇裂与腭裂占11.89%、脑积水占6.15%、无脑儿占4.92%,足内翻外翻占4.51%。围生儿出生缺陷的转归,活产占43.85%,治疗性引产占39.75%,死胎占16.39%。结论减少出生缺陷的工作重点在预防,应加强优生知识的宣传,提高产前检查,产前诊断技术,降低有缺陷胎儿的活产率,降低出生缺陷的出生率,提高出生人口素质。
Objective To analyze the incidence of perinatal birth defects in obstetrics from 2006 to 2008 in our hospital and provide scientific basis for making and adopting preventive measures. Methods Retrospective analysis of birth defects monitoring in perinatal children. Results The incidence of perinatal birth defects was 26.27 ‰ (244/9289) from 2006 to 2008. The birth defect rate was 25.96 ‰ in 2006, the birth defect rate was 24.03 ‰ in 2007, and the birth defect rate was 29.38 ‰ in 2008. According to the statistics, No significant difference. The distribution of the causes of birth defects, the top 5 followed by edema accounted for 33.20%, congenital heart disease accounted for 12.30%, cleft lip and palate 11.89%, hydrocephalus accounted for 6.15%, no brain accounted for 4.92%, varus Valgus accounted for 4.51%. The outcome of perinatal birth defects, live birth accounted for 43.85%, therapeutic induced abortion accounted for 39.75%, stillbirth accounted for 16.39%. Conclusion To reduce the incidence of birth defects, the focus should be on prevention. Etiquette knowledge should be advocated to improve the prenatal diagnosis and prenatal diagnosis, to reduce the live birth rate of the defective fetus, to reduce the birth defects and to improve the quality of the birth population.