贵州省某医院170例新生儿出生缺陷的影响因素分析

Analysis of the Influencing Factors on 170 Cases of Birth Defects in a Hospital,Guizhou

目的:探讨新生儿出生缺陷的影响因素,为新生儿出生缺陷的预防和干预提供依据。方法:基于贵州省某医院2003-2011年出生缺陷的监测数据,运用卡方检验分析170例新生儿出生缺陷的特征变化及其影响因素。结果:该院出生缺陷检出率为142.6/万,产前诊断率为17.65%,异常因素占41.12%;出生缺陷前5位分别为外耳其它畸形、多指、神经管缺陷、马蹄足内翻和肢体短缩;母亲年龄<20岁缺陷儿发生率较高。结论:加强孕前保健、孕期保健、产前筛查和孕前与孕早期叶酸规范服用,是当前预防和减少出生缺陷发生的主要工作。

Objective： The paper aims of understanding the change of incidence of birth defects and its influencing factors, to provide the basis for birth defects prevention and intervention. Methods： Collected 170 cases of birth defects from the birth defects monitoring data in2003 - 2011, the chi-square test were used for analysis of the change of incidence of birth defects and its influencing factors. Results： The incidence of thebirth defects was 142.6 per million, the prenatal diagnosis rate is 17.65%, abnormal factors accounted for 41.12%; The first five rows of the birth defects are the Outer ear other deformities, multi-fingered, neural tube defects, clubfoot varus and limb shorteni^g; Child born defective has a high incidence with mother below 20. Conclusion： Strengthening preconception care, prenatal care, prenatal screening and early pregnancy and pregnancy folic acid specification can be taken to prevent and reduce the incidence of birth defects.