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目的分析舟山市2015年围产儿出生缺陷情况,为制定预防出生缺陷措施提供依据。方法按照《浙江省卫生监测区统计工作手册-妇幼分册》诊断标准,对舟山市县级及以上医疗机构孕28周至产后7 d内的围产儿和<28孕周出生的胚胎畸形儿进行监测和描述性分析。结果 2015年舟山市围产儿出生缺陷发生率为13.92‰。出生缺陷顺位前5位依次为先天性心脏病、多指(趾)、外耳其他畸形、腭裂和尿道下裂。城镇出生缺陷发生率为23.00‰,高于农村的10.69‰(P<0.01);不同年龄孕产妇、围产儿性别的出生缺陷发生率比较,差异均无统计学意义(P>0.05)。结论加强孕前保健,做好产前筛查和诊断工作,及时终止妊娠,能有效降低围产儿出生缺陷率。
Objective To analyze the birth defects of perinatal children in Zhoushan in 2015 and provide the basis for the measures to prevent birth defects. Methods According to the diagnostic criteria of “Statistical Manual for Workplace of Women and Children in Zhejiang Province, Surveillance Area”, the perinatal and postnatal gestational age of 28 weeks postnatal week 28 and postnatal week 28 in Zhoushan were monitored and Descriptive analysis. Results The incidence of perinatal birth defects in Zhoushan City in 2015 was 13.92 ‰. The top five birth defects were congenital heart disease, multiple fingers (toes), other malformations of the external ear, cleft palate and hypospadias. The incidence of birth defects in urban areas was 23.00 ‰, which was 10.69 ‰ higher than that in rural areas (P <0.01). There was no significant difference in the incidence of birth defects among pregnant women and perinatals at different ages (P> 0.05). Conclusions Strengthen the preconception health care, prenatal screening and diagnosis, timely termination of pregnancy, can effectively reduce the rate of birth defects perinatal.