摘要
目的分析舟山海岛2010-2014年出生缺陷发生率、畸形种类和顺位,探寻降低出生缺陷发生的干预措施,提高海岛地区出生人口质量。方法按照《浙江省卫生监测区统计工作手册(妇幼分册)》要求,对舟山市县级及以上医疗机构进行监测。结果舟山海岛2010-2014年平均围产儿出生缺陷发生率为16.80‰,并呈上升趋势(χ2=4.96,P<0.05);出生缺陷顺位前5位依次为先天性心脏病、多指(趾)、外耳其他畸形、腭裂和直肠肛门闭锁或狭窄;神经管畸形占第8位。结论围产儿出生缺陷率呈逐年上升趋势,其中先天性心脏病、外耳道其他畸形呈明显上升趋势(P<0.01),尿道下裂、神经管畸形呈略上升趋势(P<0.05)。应加强婚、孕期保健,做好产前筛查和产前诊断工作,及早干预,能有效降低围产儿出生缺陷率,提高海岛出生人口素质。
Objective To analyze the incidence of birth defects, malformation types and syn-position during 2010 to 2014, so as to find out the interventions for setting down the preventive strategy and improve population quality. Methods According to Zhejiang Birth Defect Monitoring Program - Maternal and Child, the hospitals of county or above levels were monitored. Results The total incidence of birth defects was 16.80‰ and showed an increasing trend(χ^2=4.96,P〈 0.05) in Zhoushan city form 2010 to 2014. The first five common deformities of birth defects were as follows :congenital heart diseases, polydactyly, external ear malformation ,palate defects and anus and rectum close.The neural tube defects ranked eighth. Conclusion The incidence of birth defects is increased.There is a significantly ascending trend in the prevalence of congenital heart diseases and ear malformation(P 〈 0.01), and a slightly increasing trend in the prevalence of hypospadias and neural tube defects (P 〈 0.05). To reduce the incidence of birth defects improve the quality of the population. intervention measures such as premarital and preconception care, prenatal screening and diagnosis should be strengthened.
出处
《中国公共卫生管理》
2016年第4期486-488,共3页
Chinese Journal of Public Health Management
关键词
出生缺陷
变化趋势
干预措施
birth defects
trend
intervention measures