四川省围产儿中的先天性脑积水

CONGENITAL HYDROCEPHALY OF PERINATES IN SICHUAN

本文对四川省5年期间监测的417576例围产儿中的276例先天性脑积水进行了分析。全省本病的发生率为6.61/万。在18市地州中,涪陵地区发生率(11.84/万)显著高于全省(P<0.05),而成都地区发生率(3.77/万)则显著低于全省(P<0.01),乡村围产儿先天性脑积水发生率(11.13/万)显著高于城区(4.21万)(P<0.01);逐月发生率未见明显的波动,男女间发生率无显著性差异。

From 1983 to 1987, 417,576 births (live and still) delivered in 207 hospitals in 18 prefectures were covered by Sichuan Birth Defects Monitoring Program. Among the births 372 cases of hydrocephaly were found, but according to the criteria defined by International clearinghouse for Birth Defects Monitoring Systems (ICBDMS), hydrocephaly was not counted when it coexisted with encephalocele or open spina bifida. Thus the incidence of congenital hydrocephaly was 6.61 per ten thousand (276/417576) . In Fulin region, the inci- dence was significantly higher than that of Sichuan, and on the contrary, it was lower in Chengdu. The incidence in the rural area was higher than that in the urban area, but there was no significant difference between male and female. In the 20 programs of ICBDMS, the highest incidence of congenital hydrocephaly was in Sichuan.