宜昌市医院出生缺陷监测

Analysis of congenital anomalies in the Hosptals of Yichang City

目的了解和分析宜昌市出生缺陷的发生率和构成比及影响因素。方法以宜昌市城区及县市区13个出生缺陷监测医院为监测点,对1999年10月～2001年10月住院分娩的孕28周和产后7d的围生儿资料进行统计和分析。结果我市总出生缺陷率为67.71/万(87/12848);男婴发生率(87.74/万)高于女婴(45.72/万),乡村(82.64/万)高于城镇(58.32/万),35岁母龄组出生缺陷发生率(131.57/万)高于其它年龄组;出生缺陷发生顺位前5位为多指(趾)、腭裂合并唇裂、外耳畸形、唇裂、马蹄内翻足。结论宜昌市出生缺陷发生率低于同时期湖北省的水平;出生缺陷发生率与性别,母亲年龄和居住地相关。

Objective To understand the prevalence of birth defects and associated factors in Yichang City. Method All infants with 28 gestational weeks or more delivered in 13 hospitals in Yichang city during Oct 1999 and Oct 2001 were monitored and analyzed. Results The total prevalence of congenital anomalies is 74. 61/10 000 （ 105/14074. The prevalence among male infants was higher than among female, The countryside is higher than the city. The 35 - year - old or older women group has the highest prevalence than other age groups. The 5 most common birth defects include： polydactyly, cleft lip with cleft palate, external ear malformation, cleft lip, and club foot. Conclusion The prevalence of congenital anomalies in Yichang is lower than that of Hubei province. The birth defects were associated with infant sex, maternal age and living area.