摘要
目的分析2018—2020年长沙市围生儿出生缺陷的监测结果,以期为出生缺陷的防治及相关措施的制定提供依据。方法选择2018—2020年长沙市出生缺陷监测资料进行分析,以了解长沙市出生缺陷的发生和发展情况,分析出生缺陷的流行特征,为出生缺陷干预措施的制定提供决策性依据。结果2018年围生儿出生缺陷发生率为201.69/万,2019年围生儿出生缺陷发生率为175.51/万,2020年围生儿出生缺陷发生率为175.99/万;2018—2020年期间报告的出生缺陷中先天性心脏病、多指(趾)、外耳其他畸形、马蹄内翻足、并指(趾)、尿道下裂始终居于出生缺陷发生前6位,是长沙市出生缺陷的主要发生类型;城镇出生缺陷发生率高于乡村;男性围生儿出生缺陷发生率高于女性;2020年产妇年龄<20岁年龄组出生缺陷发生率最高,30~34岁年龄组最低;2020年围生儿死亡率与2019年相比下降4.38%。结论长沙市一、二级干预措施的有效落实对于降低围生儿致死或严重致残出生缺陷的发生发挥了重要作用,需要建立健全基本生殖健康保障体系,创新出生缺陷防治机制,增强出生缺陷综合防控力度。
Objective To analyze the monitoring results of perinatal birth defects in Changsha City from 2018 to 2020,in order to provide a basis for the prevention and treatment of birth defects and the formulation of related measures.Methods Selected the 2018—2020 monitoring data of birth defects in Changsha City for analysis to understand the occurrence and development of birth defects in Changsha City,analyze the prevalence of birth defects,and provide a decision-making basis for the formulation of intervention measures for birth defects.Results The incidence of perinatal birth defects in 2018 was 201.69/10000,the incidence of perinatal birth defects in 2019 was 175.51/10000,and the incidence of perinatal birth defects in 2020 was 175.99/10000;birth defects reported during 2018—2020 of congenital heart disease,polydactyly(toe),other malformations of the outer ear,clubfoot,paradigital(toe),and hypospadias were always the top six birth defects,and were the main types of birth defects in Changsha city;cities and towns;The incidence of birth defects was higher than that in rural areas;the incidence of perinatal birth defects in men was higher than that in women;the incidence of birth defects was highest in the maternal age group<20 years old from 2020,and the lowest in the 30-34 age group;the perinatal mortality rate in 2020 was decreased by 4.38%than that in 2019.Conclusion The effective implementation of the first and second level intervention measures in Changsha city has played an important role in reducing the incidence of perinatal death or severely disabled birth defects.It is necessary to establish and improve the basic reproductive health guarantee system,innovate the birth defect prevention mechanism,and enhance the comprehensiveness prevention and control efforts of birth defects.
作者
解若彬
付金
XIE Ruobin;FU Jin(Department of Maternal and Child Information Management,Changsha Maternity and Child Health Hospital Affiliated to Hunan Normal University,Changsha,Hunan Province,410007 China)
出处
《中国卫生产业》
2021年第19期177-180,共4页
China Health Industry
关键词
出生缺陷
围生儿
活产儿
监测结果
先天性心脏病
指趾畸形
Birth defects
Perinatal infants
Live births
Monitoring results
Congenital heart disease
Digital and toe deformities
作者简介
解若彬(1972-),女,本科,副主任护师,研究方向为妇幼信息管理;通信作者:付金(1991-),男,硕士,医师,研究方向为妇幼信息管理,E-mail:1490457489@qq.com。
