平顶山地区新生儿出生缺陷调查研究

An inuestigation on newborn birth-flaw in Pingdingshan area

目的针对平顶山市地区地处工矿企业集中、环境及空气污染比较严重的特性,就本地区新生儿出生缺陷的发生情况,通过优生优育学及流病学分析,从而找到更好到干预措施。方法随机抽查市区和郊县医院自2000年至2004年记录在案的新生儿出生缺陷839例(包括死胎、死产、先天畸形),进行比对和数据整理分析。结果5年内共有围产儿76965例,平顶山地区平均畸形率为10.9‰[7,8]。P<0.001。结论采取综合干预可达降低出生缺陷发生率及出生死亡发生率的目的。同时也说明婚前健康体检,孕前优生监测,孕早期优生监测,以及围产保健卡的建立与产检的重要意义;更说明了孕前和孕早期出生缺陷干预的重要性。

Objective ： In view of concentrated industries and minging enterprises in Pingdingshan area with ill environment and air pollution, better invervention measures will be taken to reduce the incidence of local newborn birth - defect, with the study of healthy birth and the analysis of epidemic. Methods： According to the 839 samples of newborn birth - flaw on record from the year 2000 to 2004 （ including dead fetus, stillbirth and congenital malformation）. Stocchastic spot - checks were made in urban and rural hospitals to collate and analyse the data. Results.. Within five years there are all together 76965 newborn children with malformation and the av erage rete is 10. 9%. Conclution： Synthetical intrevetion will be adopted to decrease birth - flaw ratio and birth - death ratio. So it is important to make physical - check up before marriage, to make healthy birth test before pregnancy or early pregnancy and bulid health - care card, which shows the significance of early inteervention to birth - defect.