CAJ | 학술논문

目的：掌握攀枝花市出生缺陷发生率，了解出生缺陷分布特征、影响因素、发生原因等，制定预防出生缺陷实施方案，提高出生人口素质。方法：按照“攀枝花市出生缺陷监测方案”的要求，在攀枝花市所有出生缺陷监测单位对2008年10月1日至2011年9月30日出生的围产儿进行监测。结果：共监测30111例围产儿，胎龄28周以上出生缺陷381例，出生缺陷发生率为126．5／万；男性出生缺陷发生率高于女性，差异具有统计学意义（x2=11．49，P〈0．01）；出生缺陷儿母亲各年龄组间差异无统计学意义。攀枝花市出生缺陷主要为总唇裂、多指（趾）、外耳畸形等。结论：攀枝花市三年来出生缺陷发生率呈下降趋势；全面实施出生缺陷干预措施，认真落实“三级预防”措施、强化孕期保健是减少出生缺陷发生的关键。
목적：장악반지화시출생결함발생솔，료해출생결함분포특정、영향인소、발생원인등，제정예방출생결함실시방안，제고출생인구소질。방법：안조“반지화시출생결함감측방안”적요구，재반지화시소유출생결함감측단위대2008년10월1일지2011년9월30일출생적위산인진행감측。결과：공감측30111례위산인，태령28주이상출생결함381례，출생결함발생솔위126．5／만；남성출생결함발생솔고우녀성，차이구유통계학의의（x2=11．49，P〈0．01）；출생결함인모친각년령조간차이무통계학의의。반지화시출생결함주요위총진렬、다지（지）、외이기형등。결론：반지화시삼년래출생결함발생솔정하강추세；전면실시출생결함간예조시，인진락실“삼급예방”조시、강화잉기보건시감소출생결함발생적관건。
Objective: To develop the prevention of birth defects and improve the quality of births from the prehension of the incidence, distribution characteristics, influencing factors and causes of birth defect, and institute implementation. Methods: Babies born between October 1st 2008 and September 30th 2011 were recorded according to the city monitoring program of birth defect. Results: There are totally 30 111 perinatal babies are observed and diagnosed. 381 babies with over twenty-eight weeks old were found birth defect. The rate of birth defect was 12.65 per thousand. To make a comparison between male and female, the difference have significant. Male incidence was statistical higher than female incidence (x2=ll.49,P〈0.01). There was no differences on birth defects mothers in all age groups. The main birth defect were cleft lips, ear deformity and multi finger toe in Panzhihua. Conclusion: The rate of birth defect decreased in near three years in Panzhihua. The keys of reduction lied in completely intervention measures on birth defects, three Prevention measures and enhanced health care during pregnancy.