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目的了解荣成市出生缺陷发生情况及主要的特征,探讨出生缺陷的影响因素,为政府决策提供相应依据。方法对该市2006年～2011年出生缺陷资料进行分析,重点讨论是2009年在实行农村妇女免费服用叶酸的重大公共卫生项目后的资料分析,结果出生缺陷有明显下降趋势,全市出生缺陷发生率2006年为41.98/万,2007年为54.71/万,2008年为81.25/万,2009年为68.22/万,2010年为71/万,2011年为48.24/万。结论继续加强优生优育知识,婚前保健知识的指导,扩大孕前及孕早期服用叶酸的覆盖面,增强自我保健意识,把握当地政府民生工程的惠民政策,为农村妇女免费产前母血清筛查和超声大畸形筛查,提高全市产前筛查率,以提高孕中期出生缺陷的检出率,及早干预,降低出生缺陷的发生率。
Objective To understand the occurrence and main characteristics of birth defects in Rongcheng City and to explore the influencing factors of birth defects so as to provide the basis for government decision-making. Methods The data of birth defects from 2006 to 2011 in this city were analyzed, focusing on the data analysis of major public health projects in which women took folic acid free of charge in rural areas in 2009. The results showed that birth defects had a significant downward trend, and the incidence of birth defects 41.98 / million in 2006, 54.71 / million in 2007, 81.25 / million in 2008, 68.22 / million in 2009, 7.1 / million in 2010 and 48.24 / million in 2011. Conclusions Continue to strengthen the knowledge of prenatal and postnatal care, guide the prenuptial health care, expand the coverage of folic acid before and during pregnancy, enhance self-care awareness, grasp the Huimin policy of livelihood projects of local government, screen and ultrasound for prenatal maternal serum for rural women Large deformity screening to improve the city’s prenatal screening rate in order to improve the detection rate of second trimester birth defects and early intervention to reduce the incidence of birth defects.