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目的了解我市国家级监测点出生缺陷的发生情况、变化趋势,探讨出生缺陷多层次的干预措施,进一步提高出生人口素质。方法对2008年度-2010年度(3+1模式)在安庆市5家监测医院住院分娩的孕满28周-产后7d的13724例围产儿进行出生缺陷监测。结果出生缺陷发生率2008年0.97%(44/4544),2009年1.40%(65/4646),2010年1.94%(88/4534),呈上升趋势。出生缺陷前3位高发种类是先天性心脏病、多指(趾)、总唇裂和外耳其他畸形(小耳、无耳除外)。结论加强婚检、孕期保健和优生宣教,进一步深入全面开展新生儿疾病筛查工作,提高干预措施的实施质量,降低出生缺陷发生率。
Objective To understand the occurrence and trend of birth defects at national monitoring points in our city and explore multi-level interventions on birth defects to further improve the quality of birth population. Methods A total of 13,724 perinatal infants undergoing hospital delivery at 28 hospitals in 5 hospitals under surveillance in Anqing City from 2008 to 2010 (3 + 1 mode) were monitored for birth defects. Results The incidence of birth defects was 0.97% (44/4544) in 2008, 1.40% (65/4646) in 2009 and 1.94% (88/4534) in 2010, which showed an upward trend. The top 3 birth defects are those with congenital heart disease, multiple fingers, total cleft lip and other deformities of the outer ear (small ears, no ears excluded). Conclusions Strengthen premarital examination, prenatal care and prenatal education, and further carry out screening work on neonatal diseases in an all-round way so as to improve the implementation quality of intervention measures and reduce the incidence of birth defects.