江西省铅山地区出生缺陷监测结果分析及干预措施探讨

Analysis on birth defects monitoring result and discussion on its interventions in Yanshan county of Jiangxi Province

目的分析江西省铅山县出生缺陷的发生情况,为本地区制定出生缺陷预防措施提供科学依据。方法利用妇幼三级网络,采用以人群为基础的流行病学调查方法搜集出生缺陷资料,对2004年1月～2009年12月全县医疗保健单位和县计生服务站在该地区出生的围产儿共20 150例监测数据库资料进行分析。结果活产儿20 150例,围产儿出生缺陷183例,出生缺陷发生率为9.08‰。其前5顺位是先天性心脏病心(先心)、先天性脑积水、多指(趾)、先天性耳聋、唇腭裂。结论加强孕前监测和孕产妇的孕前健康教育,预防为主,提高产前诊断技术,适时终止妊娠,可有效降低出生缺陷的发生率。

Objective： Birth defects situation in Yanshan County of Jiangxi Province were analyzed to provide the scientific basis for establishing interventions against birth defects.Methods： The monitoring database collected by Yanshan Medical and Health Service and Family Planning Service Station about 20 150 cases of perinatal fetus born from January 2004 to December 2009 in this area were analyzed by adopting epidemiological method based on population through three-stage network of women and children.Results： There were 20 150 cases of live births,183 cases of perinatal fetus with birth defects and birth defects rate was 9.08 ‰.The top sequent 5 birth defects are congenital： heart disease,congenital hydrocephalus,polydactylism,congenital deafness and cheilopalatognathus sequent.Conclusion： Birth defects rate can be reduced by strengthening pre-pregnancy monitoring and health education for maternal with prevention first to improve antenatal diagnosis technology and perform termination of pregnancy timely.