发挥二级综合医院在防治出生缺陷中的作用

Playing the role of preventing and curing birth defects in the second grade general hospitals

目的通过对6个县市二级综合医院产前筛查等情况进行调查研究,探讨预防出生缺陷的新途径。方法采取定性定量相结合的办法、访谈法、问卷调查法等。结果二级综合医院开展遗传咨询、产前筛查、产前诊断、新生儿疾病筛查等方面工作做得不够,婚检和婚前保健工作存在薄弱环节。结论我国出生缺陷总发生率呈上升趋势,加强二级综合医院妇产科建设,充分发挥其产前筛查、遗传咨询、产前诊断职能,有利于帮助解决出生缺陷这一突出的公共卫生问题。

Objective To investigate and study the conditions of prenatal screening and other items in the second grade general hospitals of six counties and cities,and to explore a new way to prevent birth defects.Methods A combination of qualitative and quantitative ways,interviews,questionnaires and other approaches were taken.Results Carrying out genetic counseling,prenatal screening diagnosis,neonatal disease screening and other items were not good enough in the second grade general hospitals.Meanwhile,the antemarital physical examination and premarital health service had weaknesses.Conclusion The total incidence rate of birth defects in China increases in the ascendant trend.Therefore,it is vital to strengthen the construction of the department of obstetrics and gynecology in the second grade general hospitals,and the hospitals should fully display its functional role in prenatal screening,genetic counseling,prenatal diagnosis which can help resolve the prominent public health problem of birth defects.