CAJ | 학술논문

[目的]通过分析长沙市2001～2010年医院出生缺陷监测结果数据，为上级医疗行政部门制定降低医院出生缺陷率的政策提供依据。[方法]参照长沙市13所出生缺陷监测医院的统计数据。13所医院均按照《中国出生缺陷监测方案》及《中国出生缺陷监测手册》中有关出生缺陷的定义特征和诊断标准，经专职医生临床体检和相关检查确诊并分类统计。[结果]10年中13所出生缺陷监测医院总出生围生儿为173527例，出生缺陷3856例，总发生率为222．16/万，10年间出生缺陷发生率呈明显上升的趋势。10年间排在前五位的出生缺陷分别是：先天性心脏病、外耳其他畸形、唇裂合并腭裂、多指（趾）、先天性脑积水。除先天性心脏病的构成比增高外，其它四种出生缺陷的构成比均呈下降趋势。[结论]降低出生缺陷应实现出生缺陷预防模式的战略转变。
[목적]통과분석장사시2001～2010년의원출생결함감측결과수거，위상급의료행정부문제정강저의원출생결함솔적정책제공의거。[방법]삼조장사시13소출생결함감측의원적통계수거。13소의원균안조《중국출생결함감측방안》급《중국출생결함감측수책》중유관출생결함적정의특정화진단표준，경전직의생림상체검화상관검사학진병분류통계。[결과]10년중13소출생결함감측의원총출생위생인위173527례，출생결함3856례，총발생솔위222．16/만，10년간출생결함발생솔정명현상승적추세。10년간배재전오위적출생결함분별시：선천성심장병、외이기타기형、진렬합병악렬、다지（지）、선천성뇌적수。제선천성심장병적구성비증고외，기타사충출생결함적구성비균정하강추세。[결론]강저출생결함응실현출생결함예방모식적전략전변。
[Objective]To analyze the monitoring results of birth defect in hospital between 2001 and 2010 in Changsha in order to provide the basis for formulating the policy to reduce the birth defect rate of hospitals by health administrative department .[Methods] The statistical data from 13 birth defect monitoring hospitals of Changsha were analyzed .All the 13 hospital were accorded with birth defect definition and diagnostic standard in Chinese birth defect monitoring program and Chinese birth defect monitoring manual .All birth defect children were examined and registered by the trained physicians .The classification and statistical analysis were taken .[Results] In the past 10 years ,there were 173527 perinatal children born in 13 birth defect surveillance hospitals . Among them ,3856 children were birth defects .The total incidence rate was 222 .16/10000 .The incidence rate of birth defect during 10 years was increased obviously .The top 5 birth defects were congenital heart disease ,outer ear and other malformations ,cleft lip complicated with cleft palate ,multi-finger(toe) and congenital hydroceph-alus .Except the constituent ratio of congenital heart disease was increased ,the constituent ratio of 4 other birth defects had the declining trend .[Conclusion] The strategical change of the prevention mode of birth defect should be implemented so as to reduce the birth defect .