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目的:探讨出生缺陷发生原因,为优生优育制定有效措施。方法:根据国家计生委《独生子女病残儿医学鉴定及其父母再生育指导原则》,由柳州市独生子女病残儿医学鉴定小组对本地区内(四区六县)2005年1月～2006年12月上报的病残儿材料进行审查确定。结果:上报的225例残疾儿中,非遗传性疾病162例,占72.00%,其中以神经系统疾病患儿最多,有119例,占非遗传性疾病的73.46%。遗传性疾病63例,占28.00%,其中以多基因遗传的先天性心脏病最多,有22例,占遗传性疾病的34.92%。结论:要提高出生人口素质,提高独生子女的生命质量,必须普及优生优育知识,加强围产期保健,预防病毒感染,避免各种不良刺激,强调产前、孕前的诊断,及时处理,开展有效的监护和治疗,注意婴幼儿禁用药物以降低致残率。
Objective: To explore the causes of birth defects, to develop effective measures for prenatal and postnatal care. Methods: According to the Guiding Principles of Medical Identification of Disabled Children and Reproduction of Parents with One Child, by the State Family Planning Commission, the medical assessment team of only child and disabled children in Liuzhou City, from January 2005 to 2006 in this area (four districts and six counties) December reported the disabled children to review the material identified. Results: Of 225 reported cases of disabled children, 162 cases were non-genetic diseases, accounting for 72.00%. Among them, 119 cases were children with neurological diseases, accounting for 73.46% of non-genetic diseases. 63 cases of genetic diseases, accounting for 28.00%, of which polygenes inherited the most congenital heart disease, 22 cases, accounting for 34.92% of genetic diseases. Conclusion: To improve the quality of birth population and improve the quality of life of only child, we must popularize the knowledge of prenatal and postnatal care, strengthen the perinatal care, prevent the virus infection and avoid all kinds of adverse stimuli, emphasize prenatal and prenatal diagnosis, timely treatment and carry out effective Care and treatment, pay attention to infant and young child disable drugs to reduce the disability rate.