围产期出生缺陷与5岁以下儿童死亡率的关联
Donghua Xie1,2, Jianhui Wei3, Lili Xiong1
1Department of Health Management, Maternal and Child Health Hospital of Hunan Province, Changsha, China.
Frontiers in pediatrics
|August 18, 2025
概括
出生缺陷 (BDs) 显著增加了五岁以下儿童的死亡风险,先天性异常是导致死亡的主要原因. 这凸显了对围产期BDs的早期检测和干预的关键需求.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 遗传学 是一个遗传学.
背景情况:
- 出生缺陷 (BDs) 是一个重要的全球健康问题,导致儿童死亡率.
- 围产期诊断BD对于了解它们对早期儿童生存的影响至关重要.
研究的目的:
- 量化围产期出生缺陷与5岁以下儿童死亡率之间的关联.
- 为了确定具有最高死亡风险的特定类型的BDs.
主要方法:
- 从湖南省 (2017-2022) 的住院分娩,BD监测和死亡数据的回顾性队列分析.
- 使用死亡率和Cox比例危险模型来计算危险比率 (HRs) 和95%置信区间 (CI).
主要成果:
- 在超过380万活产儿中,0.8%患有BD,与未受影响的儿童相比,死亡率高11.6倍.
- 在BD群中,先天性异常占死亡人数的57.2%.
- 在患有BD的儿童中,观察到先天性异常,消化,呼吸系统形和癌症的高死亡风险.
结论:
- 出生缺陷与五岁以下儿童死亡率密切相关,特别是在生命的前28天内.
- 肌肉,染色体,遗传和神经系统的异常代表了围产期BD和儿童生存的关键关注领域.
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