晋中市榆次区2005年—2013年出生缺陷监测分析  

Jinzhong city Yuci district 2005—2013 birth defects monitoring and analysis

作　　者：贾亦鸿 

机构地区：[1]晋中市榆次区妇幼保健院,山西晋中030600

出　　处：《基层医学论坛》2015年第30期4179-4181,共3页The Medical Forum

摘　　要：目的掌握围生儿出生缺陷的发生情况及动态趋势,以采取相应的干预措施。方法采用描述性研究的方法对晋中市榆次区2005年—2013年出生缺陷599例进行分析。结果 2005年—2013年出生缺陷的平均发生率为88.20/万,神经管畸形的发生率为14.43/万。出生缺陷前5位病种是多指（趾）、神经管畸形、唇裂合并腭裂、先天性脑积水、唇裂。农村的出生缺陷、神经管畸形发生率均高于城区。男性出生缺陷发生率高于女性,出生缺陷儿男∶女比为1∶1.27。对前5位出生缺陷病种受孕季节分析,二季度受孕发生的比例略高,三季度受孕发生的比例偏低。结论掌握优生优育保健知识和技能,提高孕4个月～6个月的B超监测技术,做好产前诊断及治疗性引产,是降低出生缺陷的主要措施。ObjectiveInvestigating the birth defects is that abnormal in structure and function（metabolism）of human embryos（fetal）existing at birth, and adopting countermeasures.Methods599 cases of birth defects in Yuci From 2005 to 2013 were analyzed by descriptive research method.ResultsThe average incidence of birth defects in Yuci From 2005 to 2013 is 88.20 per ten thousand,incidence of NTDs is 14.43 per ten thousand.birth defects happening in this order：toe or finger deformity,NTDs,cleft lip with cleft palate,congenital hydrocephalus,cleft lip.The rates of birth defects and NTDs in rural areas are higher than urban. Male is higher than female in the incidence of birth defects,male versus female is 1：1.27.by analysis of the top five diseases in conception season,we can find that pregnancies in the second quarter had a slightly higher incidence,but low in the third quarter.ConclusionThe main interventions with birth defects include of having a good command of Healthy birth and children care Knowledge and Skills,Improving the technology of B-ultrasonic monitoring during the 4-6month pregnancy,doing well in prenatal diagnosis and therapeutic induced labor.

关 键 词：出生缺陷 调查分析 保健宣教 B超监测 治疗性引产 

分 类 号：R174[医药卫生—妇幼卫生保健]