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为了解甘肃省出生缺陷死亡率及易患因素,为“甘肃省出生缺陷干预工程”项目的实施提供可干预的核心因素。根据甘肃地理特点及经济状况,按随机分层整群抽样方法,抽取了4个县,共42个乡为调查点。结果显示四县市婴儿总死亡率15.8‰(98例),出生缺陷死亡率7.7‰。甘肃省出生缺陷前五位的致病因素依次为:母亲孕早期接触农药史;母亲孕前一月服药史;母亲孕期接触农药史;母亲孕早期感染史;既往流产史。
In order to understand the mortality and risk factors of birth defects in Gansu Province, this paper provides the core factors that can be intervened for the implementation of Gansu Province Birth Defects Intervention Project. According to Gansu geographic features and economic conditions, according to random stratified cluster sampling method, 4 counties were selected, a total of 42 townships as the investigation point. The results showed that the total infant mortality rate in four counties was 15.8 ‰ (98 cases), and the birth defect mortality rate was 7.7 ‰. The five leading causes of birth defects in Gansu province were as follows: mother’s history of exposure to pesticides in the first trimester; mother’s medication history before January of pregnancy; mother’s history of exposure to pesticides during pregnancy; mother’s infection during the first trimester of pregnancy;