论文部分内容阅读
目的了解湖南省近十年出生缺陷发生率变化趋势,为湖南省制定出生缺陷干预措施提供参考依据。方法按照卫生部《中国妇幼卫生监测方案》对湖南省53家医院进行围产儿出生缺陷监测,对其十年资料进行统计和分析。结果2003年-2012年湖南省出生缺陷监测医院总共监测714 071例围产儿,出生缺陷发生总例数为12 861例,发生率最低为2003年124.33/万,最高为2011年227.81/万,合计为180.11/万。出生缺陷发生率呈上升趋势的主要病种有先天性心脏病、外耳其他畸形、肾脏畸形;呈下降趋势的主要有神经管缺陷和先天性脑积水。结论湖南省出生缺陷发生率逐年升高,先心病尤为突出;建议加强遗传优生健康教育,加强围产期保健,研究先心病诱发因素,减少缺陷患儿的出生。
Objective To understand the trend of birth defects in recent ten years in Hunan Province and provide a reference for formulating birth defects in Hunan Province. Methods According to the “Maternal and Child Health Surveillance Program” of the Ministry of Health, 53 hospitals in Hunan Province were monitored for birth defects and their data were statistically analyzed. Results A total of 7,140 071 perinatal children were monitored by the Birth Defective Monitoring Hospital of Hunan Province from 2003 to 2012. The total number of birth defects was 12,861. The lowest incidence was 124.33 / million in 2003 and the highest was 227.81 / million in 2011. Total 180.11 / million. The prevalence of birth defects showed a trend of rising prevalence of congenital heart disease, other malformations of the outer ear, kidney malformations; the main downward trend of neural tube defects and congenital hydrocephalus. Conclusions The incidence of birth defects in Hunan Province is increasing year by year, especially in congenital heart disease. It is suggested to strengthen the education of hereditary eugenics, strengthen perinatal care, study the predisposing factors of congenital heart disease and reduce the birth of children with defects.