南京市2003～2008年病残儿医学鉴定回顾性分析

A Retrospective Analysis of Disabled Children Applied for Medical Authentication between 2003 and 2008 in Nanjing

目的:通过对病残儿医学鉴定情况分析,探讨更有效、更实际的出生缺陷干预措施。方法:对南京市2003～2008年1174例申请鉴定的病残儿资料进行审查和分析。结果:先天性疾病占75.98%,其中神经及精神类疾病位列首位,遗传性疾病占23.42%。结论:要提高出生人口素质,避免出生缺陷患儿,必须普及优生优育知识,大力开展孕前-围孕期保健,积极倡导产前诊断。通过病残儿医学鉴定,对再生育夫妇提供优生指导。

Objeetive： To explore more effective and practical intervention methods for birth defect prevention by analyzing dis- abled children applied for medical authentication. Methods： The data of 1 174 disabled children applied for medical authenti- cation between 2003 and 2008 in Nanjing were examined and analyzed. Results： The congenital diseases accounted for 75.98%, of which nerve and mental disorders were at the top. The genetic diseases accounted for 23.42%. Conclusion： It is necessary to popularize the information of improving birth outeome and child development, earry out preconception and perieonception care, promote prenatal diagnostic. The eugenic guidanee should be provided to the couples who plan another pregnancy by medical authentication for disabled children.