利用妇幼保健网络进行出生缺陷群体预防的效果评价  

Evaluation of the effects of population prevention on birth defects by health care network

作　　者：杨柳[1] 崔琴子[1] 张丽[1] 邵杰[1] 于军[1] 华丽[1] 刘冰[1] 曹春兰[1] 张东红[1] 孙焕[2] 

机构地区：[1]辽宁省沈阳市妇幼保健所,110032 [2]沈阳市和平区妇幼保健所

出　　处：《中国妇幼保健》2007年第13期1725-1726,共2页Maternal and Child Health Care of China

摘　　要：目的:探讨在孕产妇中筛查、诊断胎儿与婴儿异常和群体干预的效果。方法:利用妇幼保健三级网络进行出生缺陷监测,评价干预措施的效果。结果:出生缺陷呈上升趋势,群体干预的做法是优生知识宣传;检测母体血清中甲型胎儿蛋白(AFP)和绒毛膜促性腺激素(HCG)的浓度;彩色超声检查有无神经管畸形和其他体表畸形;新生儿疾病筛查、高危儿脑损伤早期诊治、危重新生儿网络转运和新生儿听力障碍早期诊治,降低了出生缺陷率、婴儿死亡率和远期致残率。结论:在妇幼保健三级网络中开展出生缺陷群体三级预防工作是降低出生缺陷有效的措施,值得推广。Objective： To discuss effect of screening and diagnosis of abnormality of infant and fetus in gravida and puerpera as well as effect of population intervention. Methods： To monitor birth defect, and propose intervention study taking advantage of health care network of women and children. Results： There was an adscendent tendency of birth defect in the city of Shenyang during 1996 -2004. Population prophylaxis included primary prevention （ to publicize the aristogenesis; to detect concentration of AFP and HCG in mother serum, to finally diagnose abnormity of cerebromedullary tube and other superficial abnormityl to screen neonatal disease, to diagnose and treat brain injured in high risk infant in early stage, to diagnose and treat neonate of high risk network conveying, and to diagnose and treat hearing disturbance of neonate screening 6. 25 thousand people, 245 birth defect were finally diagnosed. Conclusion： It was an effective measurement of birth defect tertiary prevention by three - level maternal and child health network.

关 键 词：妇幼保健 出生缺陷 群体预防 

分 类 号：R197.32[医药卫生—卫生事业管理]