中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2012年
6期
547-550
,共4页
黄巧%钟朝晖%李杰%李红%杨柳%牟李红%杨继高
黃巧%鐘朝暉%李傑%李紅%楊柳%牟李紅%楊繼高
황교%종조휘%리걸%리홍%양류%모리홍%양계고
人群监测%出生缺陷%重庆
人群鑑測%齣生缺陷%重慶
인군감측%출생결함%중경
Population surveillance%Birth defect%Chongqing
目的 了解重庆市0～4岁儿童出生缺陷发生水平.方法 在重庆市“一小时经济圈”的23个区(县)中,采用多阶段整群随机抽样方法,抽取0～4岁儿童6579名,选择32种常见的出生缺陷类型作为调查疾病；除体表性先天畸形外,其余出生缺陷的诊断必须经县级以上医院确诊.于2010年5-9月对调查对象进行体格检查和病史询问.结果 实际调查0～4岁儿童6451名,发现出生缺陷患儿216例,出生缺陷总患病率为33.48‰(95％CI值为29.09‰～ 37.87‰)；共发现25种缺陷类型.患病率最高的前5位出生缺陷类型分别为腹股沟斜疝和脐疝(20.15‰,130例)、先天性心脏病(2.17‰,14例)、多指(趾)并指(趾)(2.02‰,13例)、隐睾(1.86‰,12例)、漏斗胸(1.86‰,12例).男童出生缺陷患病率为52.99‰(178/3359),高于女童的12.29‰(38/3092)( x2=82.42,P＜0.05)；0、1、2、3、4岁组出生缺陷患病率分别为39.30‰(36/916)、38.79‰(41/1057)、36.46‰(56/1536)、28.38‰(47/1656)、27.99‰(36/1286)(x2=4.83,P=0.31)；农村出生缺陷患病率为40.17‰(136/3386),高于城镇的26.18‰( 80/3065)( x2=9.83,P＜0.05).结论 重庆市0～4岁儿童出生缺陷患病率处于中等水平,男童、出生地为农村者出生缺陷患病率较高.
目的 瞭解重慶市0～4歲兒童齣生缺陷髮生水平.方法 在重慶市“一小時經濟圈”的23箇區(縣)中,採用多階段整群隨機抽樣方法,抽取0～4歲兒童6579名,選擇32種常見的齣生缺陷類型作為調查疾病；除體錶性先天畸形外,其餘齣生缺陷的診斷必鬚經縣級以上醫院確診.于2010年5-9月對調查對象進行體格檢查和病史詢問.結果 實際調查0～4歲兒童6451名,髮現齣生缺陷患兒216例,齣生缺陷總患病率為33.48‰(95％CI值為29.09‰～ 37.87‰)；共髮現25種缺陷類型.患病率最高的前5位齣生缺陷類型分彆為腹股溝斜疝和臍疝(20.15‰,130例)、先天性心髒病(2.17‰,14例)、多指(趾)併指(趾)(2.02‰,13例)、隱睪(1.86‰,12例)、漏鬥胸(1.86‰,12例).男童齣生缺陷患病率為52.99‰(178/3359),高于女童的12.29‰(38/3092)( x2=82.42,P＜0.05)；0、1、2、3、4歲組齣生缺陷患病率分彆為39.30‰(36/916)、38.79‰(41/1057)、36.46‰(56/1536)、28.38‰(47/1656)、27.99‰(36/1286)(x2=4.83,P=0.31)；農村齣生缺陷患病率為40.17‰(136/3386),高于城鎮的26.18‰( 80/3065)( x2=9.83,P＜0.05).結論 重慶市0～4歲兒童齣生缺陷患病率處于中等水平,男童、齣生地為農村者齣生缺陷患病率較高.
목적 료해중경시0～4세인동출생결함발생수평.방법 재중경시“일소시경제권”적23개구(현)중,채용다계단정군수궤추양방법,추취0～4세인동6579명,선택32충상견적출생결함류형작위조사질병；제체표성선천기형외,기여출생결함적진단필수경현급이상의원학진.우2010년5-9월대조사대상진행체격검사화병사순문.결과 실제조사0～4세인동6451명,발현출생결함환인216례,출생결함총환병솔위33.48‰(95％CI치위29.09‰～ 37.87‰)；공발현25충결함류형.환병솔최고적전5위출생결함류형분별위복고구사산화제산(20.15‰,130례)、선천성심장병(2.17‰,14례)、다지(지)병지(지)(2.02‰,13례)、은고(1.86‰,12례)、루두흉(1.86‰,12례).남동출생결함환병솔위52.99‰(178/3359),고우녀동적12.29‰(38/3092)( x2=82.42,P＜0.05)；0、1、2、3、4세조출생결함환병솔분별위39.30‰(36/916)、38.79‰(41/1057)、36.46‰(56/1536)、28.38‰(47/1656)、27.99‰(36/1286)(x2=4.83,P=0.31)；농촌출생결함환병솔위40.17‰(136/3386),고우성진적26.18‰( 80/3065)( x2=9.83,P＜0.05).결론 중경시0～4세인동출생결함환병솔처우중등수평,남동、출생지위농촌자출생결함환병솔교고.
Objective To learn the prevalence of birth defects in Chongqing.Methods A total of 6579 children aged 0 -4 were chosen by multistage cluster sampling method in central economic districts of Chongqing.A total of 32 kinds of birth defects were selected.All the birth defects,except for the visible congenital malformation,must be diagnosed by the hospital in county.And municipal experts would make a consultation for those that couldn't be diagnosed at the level of county.Investigators trained strictly made a body examination and inquired medical history from May to September in 2010.Results A total of 6541subjects,aged from 0 to 4,were recruited in the present study,and 216 of them were born with birth defects.The total prevalence was 33.48‰(95％CI:29.09‰ -37.87‰).There were 25 kinds of birth defects in total,the first five were heruia(20.15‰),congenital heart disease(2.17‰),polydactylism (2.02‰),cryptorchid(1.86‰) and funnel chest(1.86‰).The prevalence among boys was 52.99‰(178/3359),higher than gids 12.29‰(38/3092 )( x2 =82.42,P ＜ 0.05 ).The prevalence in each group aged 0,1,2,3,4 were 39.30‰(36/916),38.79‰(41/1057),36.46‰(56/1536),28.38‰(47/1656),27.99‰(36/1286),respectively.There were no statistical differences in each group (x2 =4.83,P =0.31 ).The prevalence in countryside was 40.17‰ (136/3386),higher than that in town 26.18‰( 80/3065 ) ( x2 =9.83,P ＜ 0.05 ).Conclusion The rate of birth defects in Chongqing was moderate,and boys and kids in rural areas had a higher prevalence rate than their counterparts.
