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目的研究如皋市出生缺陷流行变化趋势,为预防出生缺陷提供科学依据。方法 2009年10月—2015年9月如皋市各助产医疗机构常规监测出生孕满28周至产后7d内的围产儿,分析出生缺陷儿监测资料、总发生率及前5位出生缺陷。结果 6年共监测72 853例围产儿,发生出生缺陷329例,发生率为4.52‰,6年来出生缺陷呈缓慢下降趋势,顺位变化不明显。前5位为唇腭裂、多指并指(趾)、先天性心脏病、直肠肛门闭锁(无肛)、马蹄内翻足等。结论开展三级预防,采取综合性预防出生缺陷措施。
Objective To study the epidemiological trend of birth defects in Rugao and provide a scientific basis for preventing birth defects. Methods From October 2009 to September 2015, all midwifery medical institutions in Rugao routinely monitored the perinatally born children within 28 weeks of pregnancy and 7 days after delivery, and analyzed the monitoring data of birth defects, the total incidence and the first five birth defects. Results A total of 72 853 cases of perinatal children were monitored during the past 6 years. There were 329 cases of birth defects with a rate of 4. 52 ‰. The birth defects showed a slowly decreasing trend in 6 years with no obvious change in the order. The first 5 are cleft lip and palate, multi-finger and finger (toe), congenital heart disease, rectal anatomy (no anus), clubfoot and so on. Conclusion To carry out tertiary prevention and take comprehensive measures to prevent birth defects.