郫县地区2008-2010年出生缺陷人群监测与医院监测的比较分析

Comparison of birth defects between population and hospital monitoring system in Pixian county from 2008 to 2010

目的全面了解郫县地区出生缺陷的发生状况,探索出生缺陷人群监测与医院监测的异同。方法依照《中国出生缺陷人群监测方案》,四川省成都市2008-2010年开展了出生缺陷人群监测工作,选取对城镇与乡村具有代表性的郫县地区作为监测点之一进行了调查,并与同期医院出生缺陷监测结果进行对比。结果 2009年、2010年以及2008-2010年整体人群监测出生缺陷发生率都明显高于医院监测出生缺陷发生率;并且2008-2010年期间,通过延长出生缺陷监测时间至生后42天后,缺陷的发生率较医院监测缺陷发生率分别增加3.3%、10.8%及15.4%。因此2008-2010年间总的出生缺陷儿发生率增加9.9%。结论人群监测不仅逐步获得准确、可靠并能反映监测地区实际状况的主要出生缺陷基本信息,并且可动态观察主要出生缺陷发生情况,为制定出生缺陷的预防措施、评价干预效果和政府部门制定预防出生缺陷的卫生决策提供依据。

Objective To investigate the status of birth defects in Pixian County, and to explore the similarities and differences between population and hospital monitoring system. Methods In accordance with ＂Chinese birth defects population monitoring program＂, a pnpulation birth defects monitoring program was carried out from 2008 to 2010 in Chengdu, Sichuan. Pixian County was selected as one of the monitoring points, which have representative population of urban and rural areas. The monitoring result was compared with the result from hospital birth defects monitoring at the same period. Resuts In 2009 and 2010, the prevalence of birth defect （PBD） by population monitoring system were significantly higher than those hy hospital monitoring system, respectively, the similar result happens of the total PBD from 2008 to 2010. By extending the birth defects monitoring time to 42 days after birth, compared with the same period by hospital monitor, the prevalence of birth defect by population monitor were increased by 3.3%, 10. 8% and 15.4% respectively from 2008 to 2010. And the total prevalence of birth defect was increased 9. 9% of the three years. Conclusions Population - based monitoring system can not only obtain accurate and reliable information which reflecting the actual birth defects step by step, but also can observe the occurrence of major birth defects dynamically. This system can provide evidence for birth defect prevention, intervention evaluation and forming health policy.