深圳市宝安区2008～2011年围产儿出生缺陷监测分析及干预对策  

Analysis on surveillance of birth defects and the intervention countermeasures among perinatal infants in Baoan District of Shenzhen from 2008 to 2011

作　　者：陆泉[1] 刘美群[1] 林玲莉[1] 彭秀慈[1] 袁彩云[1] 刘莉[1] 

机构地区：[1]广东省深圳市宝安区人民医院预防保健科,518101

出　　处：《中国妇幼保健》2014年第32期5199-5201,共3页Maternal and Child Health Care of China

摘　　要：目的：了解深圳市宝安区2008~2011年围产儿出生缺陷发生状况及其影响因素,以便制定有效的干预对策,降低出生缺陷发生率,为提高出生人口素质提供可靠依据。方法：对2008~2011年在深圳市宝安区人民医院接受产前检查或住院分娩的孕满28周至产后7天内的13 733例围产儿进行出生缺陷及相关因素监测分析。结果：14年围产儿出生缺陷儿798例,检出率581.08/万,各年度差异无统计学意义（P〉0.05）。2男性出生缺陷率明显高于女性。母亲孕龄≥35岁的出生缺陷明显高于其他组。3前5位出生缺陷类型分别为先天性心脏病,G-6PD缺乏症,多指（趾）,唇裂合并腭裂,马蹄内翻足。前4种类型均高于全国平均水平。42008~2011年围产儿死亡为143例,其中出生缺陷死亡占70.63%。结论：政府给予配套经费,落实出生缺陷综合防治措施。发挥社康中心妇幼保健网底作用,实现社区-社康中心-医院婚前、孕前、孕期、分娩期的系统保健管理工作。Objective： To understand the prevalence and influencing factors of perinatal birth defects from 2008 to 2011 in Baoan District of Shenzhen, in order to develop effective intervention countermeasures, reduce the incidence rates of birth defects, provide a reliable basis for improving the population quality. Methods： Surveillance of birth defects and analysis on related factors were performed among 13 733 perinatal infants from 28 gestational weeks to seventh days after birth from the hospital from 2008 to 2011. Results： From 2008 to 2011, 798 perinatal infants with birth defects were screened out, the detection rate was 581.08/lO 000, there was no statistically significant differ- ence among each year （P 〉 0. 05） . The incidence rates of birth defects among boys were significantly higher than those among girls. The incidence rates of birth defects in maternal age~〉35 -year- old group were significantly higher than those in the other groups. The top five types of birth defects were congenital heart disease, G - 6PD deficiency, polydactylism, cleft lip with cleft palate and talipes equinovarus, the proportions of the former four types were higher than national levels. From 2008 to 2011, 143 perinatal infants died, 70. 63% of them died because of birth defects. Conclusion： Government＇s matching funds and implementing comprehensive prevention measures of birth defects are important, as the basis of maternal and child health care network, community -community health service center should be developed to realize community health center- hospital, pre -pregnancy, pregnancy, postpartum systematical health care management.

关 键 词：围产儿 出生缺陷 监测 干预对策 

分 类 号：R174[医药卫生—妇幼卫生保健]