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目的:了解和分析黑龙江省围产儿出生缺陷的发生情况和影响因素,为制定干预措施提供依据。方法:按照全国出生缺陷监测方案的要求,对2003~2006年在监测医院分娩的190 505例围产儿进行监测。结果:监测人口占出生人口的20.84%,共发现出生缺陷儿1 289例,出生缺陷总发生率为67.66万/,前5位出生缺陷依次为总唇裂、神经管畸形、脑积水、多指(趾)、先心病;近几年出生缺陷发生率呈上升趋势,男性(68.76万/)高于女性(64.51万/),城市(72.44万/)高于农村(63.31万/)。结论:黑龙江省产前诊断水平亟待提高,需进一步加强孕产妇系统保健管理,积极开展健康教育工作以降低出生缺陷发生率。
Objective: To understand and analyze the incidence and influencing factors of birth defects in perinatals in Heilongjiang Province, and to provide basis for making interventions. Methods: In accordance with the requirements of the National Birth Defective Monitoring Program, 190,505 cases of perinatal children delivered at the monitoring hospital from 2003 to 2006 were monitored. Results: The monitoring population accounted for 20.84% of the total population of birth, a total of 1 289 cases of birth defects were found, the total incidence of birth defects was 676,600 /, the top 5 birth defects followed by total cleft lip, neural tube defects, hydrocephalus, multiple fingers (Toe) and congenital heart disease. The incidence of birth defects has been on the rise in recent years. The number of males (687,600) is higher than that of females (645,100), while that of urban areas (72,440) is higher than that of rural areas (63,310). Conclusion: The prenatal diagnosis in Heilongjiang Province needs to be improved urgently. It is necessary to further strengthen the maternal health care management and actively carry out health education to reduce the incidence of birth defects.