Selected Structural Birth Defects - Shanxi Province, China, 2000-2019.

Selected Structural Birth Defects - Shanxi Province, China, 2000-2019.
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部分结构性出生缺陷 - 中国山西省,2000-2019 年。

DOI:
10.46234/ccdcw2020.196
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发表时间:
2020-09-11
期刊:
影响因子:
4.7
通讯作者:
Ren A
Ren A
中科院分区:
医学4区
文献类型:
--
作者:
Liu J;Wang L;Zhang Y;Zhang L;Jin L;Li Z;Ren A

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关于这个话题我们已经知道了什么? 为了降低中国农村地区神经管缺陷(NTD)的高患病率,中国卫生部(目前称为国家卫生委员会)于2009年启动了全国范围的叶酸补充计划。从2000年到2014年,中国北方NTD的患病率从118.9/10,000下降到31.5/10,000。 这份报告增加了什么? 通过对中国北方5个县的出生缺陷监测,发现20年来中国出生缺陷检出率从182.8/万下降到119.3/万。围产期(28孕周或以上)结构性出生缺陷占出生缺陷总数的比例从2000年的83.9%下降到2019年的59.9%。 对公共卫生实践有何影响? 应考虑提高围产期叶酸补充剂的依从性,在主食中添加叶酸强化剂,并围绕早期产前检查开展健康教育,以进一步降低人口出生缺陷的风险。
What is already known about this topic? To reduce the high prevalence of neural tube defects (NTDs) in rural areas of the country, the Ministry of Health of China (currently known as the National Health Commission) initiated a nationwide folic acid supplementation program in 2009. The prevalence of NTDs have decreased from 118.9/10,000 births to 31.5/10,000 in northern China from 2000 to 2014. What is added by this report? Based on a population-based birth-defect surveillance system, the prevalence of selected structural birth defects in 5 counties in northern China decreased significantly from 182.8/10,000 births to 119.3/10,000 during the past two decades. Perinatal (28 gestational weeks or more) structural birth defects decreased from 83.9% of total birth defects in 2000 to 59.9% in 2019. What are the implications for public health practice? Improving the compliance of periconceptional folic acid supplementation, the fortification of staple foods with folic acid, and the health education surrounding early prenatal check-ups should be considered to further reduce the risk of birth defects in the population.
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