四川省双流县2010年-2014年围产儿出生缺陷监测分析

Analysis of birth defects surveillance data of perinatal babies from 2010 to 2014 in Shuangliu county,Sichuan province

目的了解四川省双流县围产儿出生缺陷情况及影响因素,为提高人口素质、降低出生缺陷率提供科学依据。方法对2010年-2014年全县3家出生缺陷监测医院分娩的围产儿出生缺陷监测相关资料进行回顾性分析。结果双流县2010年-2014年围产儿出生缺陷发生率为9.71‰,是导致围产儿死亡的首要原因;主要出生缺陷依次为先天性心脏病、多指、小耳（包括无耳）、唇裂和并指,占全部缺陷类型的53.23%。结论应大力开展围产儿出生缺陷监测与综合干预工作,积极开展三级预防工作,以减少出生缺陷的发生,提高人口素质。

Objective： To understand the condition and causes of birth defects in Shuangliu county, thus provide the scientific basis for improving population quality and reducing birth defects. Methods： The birth defects surveillance data of perinatal babies from 2010 to 2014 in 3 hospitals on a county scale were arranged and analyzed. Results： From 2010 to 2014, The total incidence of birth defects was 9.71‰. The main birth defects types were, in order, congenital heart disease, polydactylism, microtia （including anotia） , harelip, syndactylia, all the 5 types birth defects paid 53.23% of all. Among birth defects children, there had a higher ratio in male compared with female, also a higher ratio in town compared with rural area. The data also showed that the maternal ages which were less than 20 or be equal or greater than 35 had a higher ratio of birth defects. The birth defects were the leading cause of perinatal deaths. Conclusion： In order to reduce birth defects and improve population quality, we should carry out the work of birth defects surveillance and comprehensive interventionson a big scale, actively develop the ＂three-step- prevention＂ mode of birth defects.