学术论文

      广西壮族自治区客家围生儿出生缺陷监测51528例分析

      Analysis of 51 528 cases of perinatal birth defect monitoring in Hakka,Guangxi Zhuang Autonomous Region

      摘要:
      目的:调查并分析广西壮族自治区客家围生儿出生缺陷状况,为降低围生儿出生缺陷发生率、提高人口出生素质预防决策提供依据。方法对2015年博白县和陆川县客家产妇51528例围生儿出生缺陷监测资料进行统计分析。结果客家围生儿出生缺陷构成分布:≥28周出生缺陷儿占75.14%,<28周出生缺陷儿占24.85%;住院分娩围生儿51528例,≥28周出生缺陷儿384例,发生率为7.45‰;≥28周出生缺陷儿出生缺陷诊断结果:胎儿水肿综合征35例,占9.11%;先天性心脏病34例,占8.85%;唇裂合并腭裂30例,占7.81%;唇裂21例,占5.47%;腭裂8例,占2.08%;先天性脑积水5例,占1.30%;其他251例,占65.35%;≥28周出生缺陷儿畸形确诊时间分布,产前诊断占21.18%,产后7 d 内诊断占78.82%;客家围生儿≥28周出生缺陷儿转归状况:活产占73.18%,死胎占20.57%,死产占1.30%,7 d 内死亡占4.94%。结论客家围生儿出生缺陷儿转归以活产为主,应强化预防围生儿出生缺陷措施,加强出生缺陷儿检出及产前人工终止出生缺陷儿妊娠,改善出生人口素质。
      Abstract:
      Objective To investigate and analyze the monitoring status of birth defects of perinatal infants in Hakka of Guangxi Zhuang Autonomous Region,and to provide evidence for reducing the incidence of birth defects and improving prevention decision for the quality of birth.Methods The data of 51 528 cases of perinatal birth defects monitoring were analyzed in Bobai and Luchuan counties in 2015.Results The distribution of birth defects in the perinatal infants of Hakka was more than 75.14%,28.8% of the birth defects occurred in 28 weeks,51 528 cases of perinatal birth in hospital,birth defects of ≥28 weeks in 384 cases.The incidence rate of birth defects was 28.5%, the rate of birth was 7.45‰.The birth defect of ≥28 weeks was diagnosed,35 cases were fetal edema syndrome, accounted for 9.11%.34 cases were congenital heart disease,accounted for 8.85%,30 cases were cleft lip with cleft palate,accounted for 7.81%.Congenital hydrocephalus in 5 cases,accounted for 1.30%;other in 251 cases,accoun-ted for 65.35%.The diagnosed time distribution of birth defects of ≥28 weeks:prenatal diagnosis accounted for 21.18%,postnatal 7 days accounted for 78.82%.The outcome of ≥28 weeks of perinatal birth defects in Hakka:live birth accounted for 73.18%,fetal death accounted for 20.57%,stillbirth accounted for 1.30%,seven days of death accounted for 4.94%.Conclusion The perinatal birth defects in Hakka is live births to the main,the prevention of perinatal birth defects in children live birth measures should be strengthened,the detection of birth defects should be strengthened and the pregnancy of artificial birth defects should be terminated,so as to improve the quality of the birth population.
      Author: Li Qiubo Zhang Ning Huang Hongping Chen Lisi Li Hong
      作者单位: 玉林市妇幼保健院信息科, 广西壮族自治区玉林,537000
      刊 名: 中国基层医药 ISTIC
      年,卷(期): 2017, 24(6)
      在线出版日期: 2017年3月29日