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[目的]了解济南市天桥区围产儿出生缺陷发生情况,为制定出生缺陷预防保健措施提供依据。[方法]对2010年济南市天桥区7家出生监测医院孕28周至产后7d分娩的围产儿出生缺陷监测资料进行分析。[结果]2010年济南市天桥区共报告围产儿9 693名,出生缺陷68例,出生缺陷发生率为7.01‰。出生缺陷发生率,农村为3.87‰,城镇为9.35‰(P<0.01);男性为7.52‰,女性为5.95‰(P<0.01),出生缺陷发生率前5位为的多指、先天性心脏病、马蹄足、食道闭锁或狭窄、先天性脑积水,发生率分别为1.86‰、1.24‰、0.41‰、0.31‰、0.31‰。[结论]出生缺陷是导致天桥区围产儿死亡的重要原因。
[Objective] To understand the occurrence of perinatal birth defects in Tianqiao District of Ji’nan City and provide the basis for the prevention and health care measures of birth defects. [Method] The monitoring data of birth defects of perinatal children born in 7 birth control hospitals in Tianqiao District of Jinan City from 28 weeks to 7 days after delivery were analyzed. [Results] A total of 9 693 perinatal children were reported in Tianqiao District in Jinan City in 2010, with 68 cases of birth defects. The incidence of birth defects was 7.01 ‰. The incidence of birth defects was 3.87 ‰ in rural areas and 9.35 ‰ in urban areas (P <0.01), 7.52 ‰ in males and 5.95 ‰ in females (P <0.01). The top 5 birth defects were multi-finger congenital heart Disease, clubfoot, esophageal atresia or stenosis, congenital hydrocephalus, the incidence rates were 1.86 ‰, 1.24 ‰, 0.41 ‰, 0.31 ‰, 0.31 ‰. [Conclusion] Birth defects are the main reason leading to perinatal death in the overpass.