CAJ | 학술논문

目的：探讨出生缺陷多指(趾)儿的原因及干预措施。方法：2009年10月-2013年9月收治出生缺陷多指(趾)儿7例，针对其发生率、孕周、胎儿性别、孕妇的年龄、文化程度、孕早期情况、出生缺陷、转归等7个方面进行统计及分析。结果：发生率：出生缺陷儿的发生率70.63‰，围产儿的死亡率32.60‰；多指(趾)儿发生率26.92%，围产儿存活率100%。孕周：37周1例，38周3例，39周2例，40周1例，7例均为足月产。胎儿性别：男4例，女3例，性别没有差异。孕妇年龄：26岁1例，27岁1例，28岁2例，29岁2例，30岁1例，孕妇年龄没有差别。文化程度：小学1例，初中3例，大专3例。孕早期情况：感冒1例，发热1例，无异常5例。畸形部位：多指5例，多趾1例，右足并趾1例。转归：活产7例，均为活产。结论；对7例出生缺陷儿的原因分析，加强对优生优育的宣教，避免不良生活习惯，避免孕早期病毒感染和孕期的保健，提高生存质量的重要措施。
목적：탐토출생결함다지(지)인적원인급간예조시。방법：2009년10월-2013년9월수치출생결함다지(지)인7례，침대기발생솔、잉주、태인성별、잉부적년령、문화정도、잉조기정황、출생결함、전귀등7개방면진행통계급분석。결과：발생솔：출생결함인적발생솔70.63‰，위산인적사망솔32.60‰；다지(지)인발생솔26.92%，위산인존활솔100%。잉주：37주1례，38주3례，39주2례，40주1례，7례균위족월산。태인성별：남4례，녀3례，성별몰유차이。잉부년령：26세1례，27세1례，28세2례，29세2례，30세1례，잉부년령몰유차별。문화정도：소학1례，초중3례，대전3례。잉조기정황：감모1례，발열1례，무이상5례。기형부위：다지5례，다지1례，우족병지1례。전귀：활산7례，균위활산。결론；대7례출생결함인적원인분석，가강대우생우육적선교，피면불량생활습관，피면잉조기병독감염화잉기적보건，제고생존질량적중요조시。
Objective:To explore the reasons and intervention measures of birth defects of multi finger(toe).Methods:7 cases with birth defects of multi finger(toe) were selected from October 2009 to September 2013.We analyzed the incidence,gestational weeks,fetus gender,maternal age,culture degree,early pregnancy,birth defects and prognosis.Results:The incidence rate of birth defects in children was 70.63‰,and perinatal mortality was 32.60‰.Multi finger(toe) rate was 26.92%,and the perinatal survival rate was 100%.Gestational age:1 case was 37 weeks,3 cases were 38 weeks,2 cases were 39 weeks,1 case were 40 weeks,7 cases were all full-term birth.The sex of the fetus:4 cases were male,3 cases were female,there was no gender differences.Age of pregnant women:1 case was 26 years old,1 case was 27 years old,2 cases were 28 years old,2 cases were 29 years old,1 case was 30 years old,there was no difference in maternal age.Cultural level:1 case was primary school,3 cases were junior high school,3 cases were the college.Early pregnancy:1 case was influenza,1 case was fever,3 cases were normal.Deformity:5 cases were multi finger,1 case was multi toe,1 case was syndactyly of the right foot.Outcome:7 cases were live birth,all were live births.Conclusion:Through the analysis of the causes of the 7 cases of children with birth defects,we should strengthen the eugenics propaganda,in order to avoid the bad living habits,avoid viruses infection during early pregnancy and prenatal care,and improve the quality of life.