湛江市出生缺陷监测结果分析

Analysis on the the monitoring results of birth defect in Zhanjiang

目的:探讨湛江市出生缺陷现状和流行病学特征,寻找降低出生缺陷更有效的干预对策。方法:根据全国出生缺陷监测网及湛江市监测方案的登记报告要求,对2009年出生缺陷监测资料进行回顾性分析,结果采用统计学方法进行显著性检验。结果:2009年湛江市出生缺陷儿335例,出生缺陷发生率为65.45/万,较全省出生缺陷发生率低,达到广东省儿童发展规划的目标(90/万)。但2003年湛江市取消强制婚检后,出生缺陷发生率逐年上升,2006年出生缺陷发生率比2003年增高近1/2(P<0.01),2006年"两个纲要"中期评估后,出生缺陷发生率有所回落。结论:湛江市出生缺陷发生率虽然低于全国和全省平均水平,但预防控制工作仍然严峻。政府和全社会一起行动,认真做好三级预防,才是减少出生缺陷发生的根本措施。

Objective：To explore the status and epidemiologic characteristics of birth defect in Zhanjiang,seek a more effective intervention countermeasure to reduce birth defect. Methods：According to the nation birth defect monitoring network and registration reporting requirement of monitoring plan in Zhanjiang,the monitoring data of birth defect cases in 2009 were analyzed retrospectively,then the results were analyzed by statistical method. Results：In 2009,335 infants with birth defect were born in Zhanjiang,the incidence of birth defect was 65.45/ten thousand,which was lower than that of the entire province,achieved the goal of child development plan in Guangdong province（90/ten thousand）.But after cancelling compulsion pre-marital physical examination in 2003,the incidence of birth defect increased year by year,compared with the incidence of birth defect in 2003,the incidence of birth defect in 2006 increased by nearly 1/2（P0.01）,after ＂two summaries＂ intermediate stage appraisal in 2006,the incidence of birth defect decreased. Conclusion：Although the incidence of birth defect in Zhanjiang is lower than the average levels in the nation and the entire province,but the prevention and control work is still stern.The government and the entire society should move together and complete the third-level prevention earnestly,which may be the basic measures to reduce the occurrence of birth defect.