摘要
目的探讨北京市房山区本市户籍人口和流动人口出生缺陷患病率及变化趋势。方法选取2005年10月～2012年9月房山区50234例出生人口为研究对象，比较本市户籍人口和流动人口出生缺陷的流行病学特征。结果房山区出生人口数为50234例，出生缺陷955例，患病率为190．1／万，总体呈上升趋势（P〈0.05）。流动人口出生缺陷患病率（244．1／万）是本市户籍人口（167．1／万）的1．46倍，流动人口患病率呈上升趋势（P〈0.01）。不同户籍出生人口患病率位居前5位的出生缺陷均为先天性心脏病、多指（趾）、唇腭裂、外耳畸形和神经管缺陷。2006～2012年房山区平均产前诊断比例为24．4％，户籍差异无统计学意义（P〉0.05）。结论2006—2012年房山区出生缺陷患病率呈上升趋势，流动人口高于本市户籍人口。应进一步加强该地区人群，尤其是流动人口的出生缺陷的病因研究和预防，以降低出生缺陷患病率。
Objective To explore the prevalence and change trend of birth defects among permanent residents and floating popula- tion in Fangshan District of Beijing. Methods A total of 50 234 cases born in Fangshan District from October 2005 to September 2012 were selected as study objects, the epidemiological characteristics of birth defects between permanent residents and floating population were compared. Results Among 50 234 cases, 955 cases were found with birth defects, the prevalence rate was 190. 1 per 10 000, showing an increasing trend （P〈0. 05） . The prevalence rate of birth defects among floating population was 244. 1 per 10 000, which was 0. 46 times more than that among permanent residents （ 167. 1 per 10 000）, the prevalence rate of birth defects among floating population showed an increasing trend （P〈0. 01 ） . The top five birth defects among the birth population with different household registers were congenital heart diseases, polydactyly, cheilopalatognathus, deformity of external ear, and neural tube defects. From 2006 to 2012, the average prenatal diagnostic rate in Fangshan District was 24.4%, there was no statistically significant difference between permanent residents and floating population （P〉0. 05） . Conclusion From 2006 to 2012, the prevalence rate of birth defects increased in Fangshan District, the prevalence rate of birth defects among floating population was higher than that among permanent residents. The etiologic research and prevention of birth defects should be strengthened to reduce the prevalence rate of birth defects, especially among the floating population.
出处
《中国妇幼保健》
CAS
2015年第31期5437-5440,共4页
Maternal and Child Health Care of China
关键词
出生缺陷
患病率
流动人口
监测
Birth defect
Prevalence rate
Floating population
Surveillance
