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目的分析江西省铅山县出生缺陷的发生情况,为本地区制定出生缺陷预防措施提供科学依据。方法利用妇幼三级网络,采用以人群为基础的流行病学调查方法搜集出生缺陷资料,对2004年1月～2009年12月全县医疗保健单位和县计生服务站在该地区出生的围产儿共20 150例监测数据库资料进行分析。结果活产儿20 150例,围产儿出生缺陷183例,出生缺陷发生率为9.08‰。其前5顺位是先天性心脏病心(先心)、先天性脑积水、多指(趾)、先天性耳聋、唇腭裂。结论加强孕前监测和孕产妇的孕前健康教育,预防为主,提高产前诊断技术,适时终止妊娠,可有效降低出生缺陷的发生率。
Objective To analyze the incidence of birth defects in Qianshan County, Jiangxi Province, and provide a scientific basis for the development of birth defects prevention measures in this area. Methods The population-based epidemiological survey method was used to collect the birth defects data by using the three-level network of women and children. The perinatal children born in this area from January 2004 to December 2009 were enrolled in the county health care units and county family planning service stations. A total of 20 150 monitoring database data for analysis. Results There were 20 150 live births, 183 birth defects perinatal births, and the incidence of birth defects was 9.08 ‰. The top 5 places are congenital heart disease (congenital heart disease), congenital hydrocephalus, multiple fingers (toes), congenital deafness, cleft lip and palate. Conclusion Prenatal monitoring and maternal pre-pregnancy health education and prevention should be strengthened to improve prenatal diagnosis and termination of pregnancy, which can effectively reduce the incidence of birth defects.