2006~2013年鹿泉市出生缺陷监测结果分析

Analysis on monitoring results of birth defects in Luquan city from 2006 to 2013

目的 了解鹿泉市出生缺陷的发生情况,找出影响因素,提出干预措施。方法 依照《中国出生缺陷监测方案》,利用妇幼保健三级网络对2006~2013年在鹿泉市妇幼保健院分娩的产妇及其围产儿的资料进行统计分析。结果 2006~2013年鹿泉市出生缺陷平均发生率为8.08‰,发生率呈逐年上升趋势,2013年前5位出生缺陷顺位为：先天性心脏病、指（趾）畸形、外耳畸形、唇腭裂、神经管畸形。产妇年龄≥35岁时出生缺陷发生率的危险性明显增加（P﹤0.05）。结论 应加强宣传教育,引导妇女适龄生育,加强婚前、孕前保健,重视产前检查和产前诊断,降低出生缺陷的发生率。

Objective To investigate the occurrence of birth defects in Luquan city, and to find out influential factors for proposing interventions. Methods According to the birth defect monitoring program in China, the data of maternal and perinatal infant in Materral and child Health Hospital of Luquan City from 2006 to 2013 through maternal and child three - stage network were analyzed retrospectively. Results The birth defects rate of Luquan city was averagely 8. 08%o and showed an increasing trend from 2006 - 2013. The top five types of birth defects included congenital heart disease, polydactyly, external ear deformity, cleft lip with cleft palate, neural tube defects. The risk of birth defects significantly increased when pregnant women t〉 35 years old （ P 〈 0.05 ）. Conclusion Public education, premarital and pre- gestational care, and prenatal examination and diagnosis should be strengthened to reduce the birth defects rate.