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目的:分析掌握温岭市出生缺陷情况相关因素,为采取相应的干预措施提供科学依据,更好地降低出生缺陷发生率,提高出生人群生命质量。方法:采用定性研究的方法对2006～2008年温岭市1 376例出生缺陷资料进行回顾性分析研究。结果:出生缺陷呈逐年上升趋势,全市出生缺陷发生率2006年为22.49‰,2007年为32.73‰,2008年为33.04‰。发生顺位较高的前7位为:先天性心脏病、梅毒、多指、唇裂、唇腭裂、先天性脑积水、无脑畸形。结论:加强优生优育知识﹑婚前保健知识的宣传,做好相关部门的协调工作,扩大健康教育覆盖面,增强自我保健意识依然是重点,开展产前母血清筛查,提高妇幼保健技术人员的综合服务能力,做好相应的防范措施,努力降低出生缺陷的出生率,提高全社会的妇幼保健意识。
OBJECTIVE: To analyze and master the related factors of birth defects in Wenling City and provide scientific basis for taking appropriate interventions to better reduce the incidence of birth defects and improve the quality of life of births. Methods: A retrospective analysis of 1 376 cases of birth defects in Wenling City from 2006 to 2008 was conducted by means of qualitative research. Results: The incidence of birth defects increased year by year. The incidence of birth defects in the city was 22.49% in 2006, 32.73% in 2007 and 33.04% in 2008. The top 7 places with the higher overall rank are: congenital heart disease, syphilis, multiple fingers, cleft lip, cleft lip and palate, congenital hydrocephalus, anencephaly. Conclusions: To strengthen prenatal and postnatal care knowledge, publicize prenuptial care knowledge, do a good job of coordinating relevant departments, expand health education coverage and enhance awareness of self-care is still the focus of prenatal maternal serum screening to improve the comprehensive service of maternal and child health technicians Ability, make appropriate preventive measures, work hard to reduce the birth rate of birth defects and raise the awareness of maternal and child health in the whole society.