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目的:了解该地区出生缺陷的发生情况,寻找影响出生缺陷的可能因素,为开展妇女保健工作制定预防措施提供科学依据。方法:对2004～2010年辽源地区出生缺陷监测资料进行综合分析。结果:2004～2010年共监测围产儿51 513例,围产儿出生缺陷383例,出生缺陷发生率74.35/万。其中2009年辽源地区出生缺陷发生率高达109.09/万,高于全省的总发生率。前3位出生缺陷顺位分别是总唇裂85例、先天性心脏病70例、神经管畸形61例;母亲在35岁以上、居住在农村、36～39周胎龄的围产儿出生缺陷发生较多,且男性多于女性,以产后确诊为主。结论:要制定相应干预措施,将工作重点放在农村,加强孕产妇系统管理工作,提高医务人员畸形筛查诊断技术,同时重视孕期保健,加强优生优育科普知识宣传,不断提高群体自我保健意识,自觉做好婚前保健、孕前期、孕早期的保健工作,降低出生缺陷发生率。
OBJECTIVE: To find out the occurrence of birth defects in the area, to find out the possible factors that affect birth defects and to provide a scientific basis for the development of preventive measures for women’s health care. Methods: The data of birth defects monitoring in Liaoyuan area from 2004 to 2010 were comprehensively analyzed. Results: From 2004 to 2010, a total of 51 513 perinatal children were monitored. There were 383 cases of perinatal birth defects. The incidence of birth defects was 74.35 per 10,000. Including birth defects in Liaoyuan in 2009 as high as 109.09 / million, higher than the province’s total incidence. The first three birth defect rankings were 85 cases of total cleft lip, 70 cases of congenital heart disease, neural tube defects in 61 cases; mothers over 35 years of age, living in rural areas, 36 to 39 weeks gestational age perinatal birth defects occurred More, and more men than women to confirm the main postpartum. Conclusion: It is necessary to formulate corresponding interventions, focus on rural areas, strengthen maternal system management and improve the diagnosis and treatment of malformations among medical staffs. At the same time, it should pay attention to the health care during pregnancy and strengthen the propaganda of popular science knowledge of prenatal and postnatal care so as to improve the self-care awareness of the group, Consciously do premarital health care, pre-pregnancy, early pregnancy health work to reduce the incidence of birth defects.