306例出生缺陷患儿追踪结局分析

目的了解活产出生缺陷患儿的结局。方法对306例2007年7月～2008年9月分娩且家长均居住在北京市海淀区的306例活产出生缺陷患儿,分娩6～8个月时通过电话调查方式询问出生缺陷患儿家长。结果 306例出生缺陷种类主要为先天性心脏病、多指/趾、除小耳和无耳的外耳畸形、睾丸未降、尿道下裂,占调查总数的75.16%。出生缺陷患儿分娩后6～8个月时的追踪结局主要包括：死亡15例（占4.90%）,到医院复诊过至少1次的208例（占67.97%）,未到医院复查的76例（占27.13%）,家长拒绝承认孩子有出生缺陷的7例（占2.29%）。结论先天性心脏病仍然是影响婴儿死亡和健康的最主要的出生缺陷;应提高出生缺陷的筛查、诊断水平,明确出生缺陷诊断标准;加强医生与出生缺陷患儿家长的沟通。

Analysis of the outcome of 306 children born with birth defects.

Objective: To describe the outcome of children born with birth defects.Methods: Between July 2007 and September 2008,306 live born cases of birth defects were diagnosed and registered by the Beijing Birth Defects Monitoring network-a hospital based birth defects registry system.Their parents were called to assess their survival status from birth up to the age of 6~8 months.Results: The major birth defects types were congenital heart defects,polydactyly,congenital malformations of ear excluding absence of ea...