宁夏回族自治区2012—2018年出生缺陷数据监测分析  

Monitor and Analyz Birth Defects in Ningxia Province from 2012 to 2018

作　　者：纪永佳 白华[2] 李宏艳 罗秀 于翠莲 JI Yongjia;BAI Hua;LI Hongyan;LUO Xiu;YU Cuilian(Ningxia Maternal and Child Health Care Hospital Ningxia Children’s Hospital,Yinchuan 750001,China;The General Hospital of Ningxia Medical University,Yinchuan 750004,China)

机构地区：[1]宁夏回族自治区妇幼保健院宁夏回族自治区儿童医院,银川750001 [2]宁夏医科大学总医院,银川750004

出　　处：《宁夏医科大学学报》2020年第12期1282-1286,共5页Journal of Ningxia Medical University

摘　　要：目的了解宁夏地区2012-2018年出生缺陷变化趋势及分布特征,为制定有针对性的防治措施提供依据。方法对7年内宁夏地区13个县(区)助产机构监测上报的出生缺陷数据进行分析。监测围产儿出生缺陷发生率、发生分布特征、各出生缺陷发生率及排序、出生缺陷儿的转归。结果 7年共监测围产儿435870例,出生缺陷儿5557例,围产儿出生缺陷平均发生率为127.49/万。不同年份间围产儿出生缺陷发生率总体呈上升趋势(χ趋势2=1281.44,P<0.001)。男性3149例,占56.7%,女性2383例,占42.9%;城镇3082例,占55.5%,农村2475例,占44.5%;缺陷儿母亲年龄25~29岁2241例,占40.3%,30~34岁1252例,占22.5%,20~24岁1058例,占19.0%,35岁及以上779例,占14.0%,19岁及以下227例,占4.1%。出生缺陷排在首位的是先天性心脏病。出生缺陷儿活产率达87.3%。结论 2012-2018年宁夏地区围产儿出生缺陷发生率总体呈上升趋势,先天性心脏病发生率持续位居首位。需加强三级预防措施,减少出生缺陷,提高出生人口素质。Objective To describe the change trend and distribution characteristics of birth defects in Ningxia during the period from 2012 to 2018 in order to provide the basis for prevention and control strategy. Methods The surveillance data of birth defects were collected and analyzed from monitoring reports of midwifery institutions in 13 cities,counties and districts of Ningxia. The main monitoring indicators are incidence of birth defects in perinatal infants,characteristics of the distribution of birth defects,incidence and sequencing of various birth defects and outcome of a birth defects. Results Our research analyzed 435870 cases of perinatal infants of which 5557 had birth defects during the study period,with the average prevalence of 127.49 per10000 perinatal infants,showing a significant uptrend(χ趋势2=1281.44,P<0.001). There are 3149 male cases,accounting for 56.7%,and 2383 female cases,accounting for 42.9%;3082 cases from cities and towns,accounting for 55.5%,and 2475 cases from rural areas,accounting for 44.5%;2241 cases aged 25-29,accounting for 43.3%,1252 cases aged 30-34,accounting for 22.5%,1058 cases aged 20-24,accounting for19%,779 cases aged 35 and above,accounting for 14.0%,and 227 cases aged 19 and below,accounting for4.1%.Incidence rate of congenital heartdisease ranks first in various types of birth defects. The live birth rate of birth defects was 87.3%. Conclusion From 2012 to 2018,the incidence of perinatal birth defects in Ningxia was increased in overall,and the most common type of birth defects was congenital heartdisease. In summary,it is necessary to strengthen three-level preventive measures,reduce birth defects and improve the quality of the birth population.

关 键 词：出生缺陷 监测 宁夏 

分 类 号：R174[医药卫生—妇幼卫生保健]