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目的:分析新疆兵团5年的出生缺陷发生率、主要畸形发生顺位及构成比,掌握兵团出生缺陷发生情况及其动态变化,探讨降低出生缺陷发生率的干预措施。方法:对2004~2008年新疆兵团出生缺陷监测医疗单位的监测资料进行统计分析。结果:监测围产儿62 330例,出生缺陷儿228例,出生缺陷发生率为3.66‰。在228例出生缺陷儿中,单发畸形211例,多发畸形17例;出生缺陷前5位畸形依次为:唇腭裂、先天性心脏病、神经管畸形、多指(趾)、先天性脑积水。结论:要加强对围孕期妇女的优生优育知识宣传教育和指导,为孕妇提供舒适、安全的生活环境,减少有毒有害环境污染,孕前、孕期远离有毒有害作业;积极开展优生技术和方法,开展产前筛查和产前诊断技术;针对出生缺陷发生及构成情况,尽快建立先天性心脏病等常见畸形的产前诊断中心,对医院产科相关人员进行出生缺陷知识和技能的培训,提高其对畸形的识别能力和诊断水平。
OBJECTIVE: To analyze the incidence of birth defects and the occurrence of major deformities in Xinjiang Corps during the past five years and to understand the occurrence and dynamic changes of birth defects in Corps and to explore interventions to reduce the incidence of birth defects. Methods: The monitoring data of Xinjiang Corps birth defects monitoring medical units from 2004 to 2008 were statistically analyzed. Results: There were 62,330 cases of perinatal and 228 cases of birth defects. The incidence of birth defects was 3.66 ‰. Among the 228 cases of birth defects, 211 cases were single malformations and 17 cases were multiple malformations. The top five malformations of birth defects were cleft lip and palate, congenital heart disease, neural tube defects, multiple digits, congenital cerebrum water. Conclusion: We should strengthen the education and guidance on the knowledge of prenatal and postnatal care in perinatal women, provide a comfortable and safe living environment for pregnant women, reduce the poisonous and harmful environmental pollution, and avoid the toxic and harmful homework before pregnancy and during pregnancy. Actively carry out the techniques and methods of eugenics, Pre-screening and prenatal diagnosis techniques; for the occurrence and composition of birth defects, as soon as possible to establish congenital heart disease and other common deformity prenatal diagnosis center, the hospital obstetric related to birth defects knowledge and skills training to improve their deformity Recognition and diagnostic level.