2008-2015年湖南省怀化市出生缺陷流行病学特征分析  

Epidemiological features of birth-defects in Huaihua of Hunan Province,2008-2015

作　　者：黄志[1] 陈萍[1] 

机构地区：[1]怀化市妇幼保健院综合保健科,湖南怀化418000

出　　处：《现代预防医学》2016年第13期2323-2327,共5页Modern Preventive Medicine

摘　　要：目的了解2008-2015年怀化市出生缺陷发生的流行病学特征,为怀化市制定出生缺陷干预措施提供依据。方法按照卫生部《中国妇幼卫生监测方案》对怀化市36家医院进行围产儿出生缺陷监测,对其8年资料进行统计和分析。结果 2008-2015年怀化市监测出生缺陷率平均113.34/万,最低为2008年91.14/万,最高为2012年122.08/万,8年间比较差异有统计学意义;2013年起先天性心脏病位居出生缺陷发生首位,其发生率逐年呈上升趋势;男性出生缺陷率明显高于女性,〈20岁组和〉35岁组孕母出生缺陷发生率显著高于20~35岁组,差异均有统计学意义。结论怀化市监测出生缺陷率逐年升高,以先天性心脏病的发生最为突出,建议加强遗传优生宣教力度,提升产前筛查、产前诊断技术水平,规范孕产妇保健服务,减少出生缺陷儿的发生。Objective To explore the epidemiological features of birth defects in Huaihua during 2008 to 2015,and to provide a scientific basis for new intervention and prevention. Methods According to＂maternal and child health surveillance scheme in China＂,data was obtained from birth defects surveillance network during 2008 to 2015 among 36 hospitals in Huaihua. Results The incidence rate of birth defects was 11. 334‰ during 2008 to 2015. The highest incidence rate was 12. 208 ‰ in 2012,and the lowest incidence rate was 9. 114 ‰ in 2008. The incidence rate of birth defects was statistically significant in different years. Congenital heart defects showed a rising trend and became the first birth- defects in Huaihua since 2013. The rate was higher for male than female. The rates of the age group under 20 and above 35 years old were higher than the age group between20 to 35 years old. Conclusion The incidence rate of birth defects in Huaihua was increasing year by year,especially congenital heart defects. We should give more education and Perinatal health care to pregnant woman,improve the ability of prenatal screening and diagnosis and regulate maternal health services,to reduce the incidence rate of birth defects.

关 键 词：出生缺陷 流行病学特征 

分 类 号：R181.23[医药卫生—流行病学]