摘要
目的:通过孕前检查,了解受检者疾病史及健康状况,分析疾病分布情况,为降低或消除导致出生缺陷的不良因素,提高出生人口素质提供依据。方法:对3 089例孕前检查者实施国家统一免费优生健康检查项目,并对检查情况进行分析。结果:存在对妊娠有影响的疾病史、家族史及不良接触史的,男女分别为54.03%和24.50%,男性以主动吸烟为首位,占21.40%,女性以不良环境接触史为首位,占7.84%。疾病检出率为28.55%,其中男女性各占比例为5.22%和94.78%,女性以生殖道炎症居首位,占女性检查人数的45.93%;男性以脂肪肝引起的肝功能异常居首位,占男性检查人数的73.92%。文化程度越低,疾病检出率越高。结论:男女同时接受孕前检查非常有必要;对低学历者应加强宣教;重视对检查结果指导及后续随访,降低出生缺陷发生。
Objective： Through the pre-pregnancy check, to know the history of the disease and health status and analyze the distribution of the disease of the subjects to provide the basis to reduce or eliminate the adverse factors which caused the birth defects and to improve the new-born population＇s quality. Methods： The items of the national unity free health examination for eugenics were implemented for 3 089 pre-pregnancy subjects and their results were analyzed. Results： The population with the history of the disease, family history and adverse contact history accounted for 54.03% in the male and 24.50% in the female, which had the negative effects on the pregnancy. The active smoking ranked the first place in the male which accounted for 21.40%, and the adverse environment contact history was the priority for the female which accounted for 7.84%. The disease detection rate was 28.55%, in which the male and female accounted for 5.22% and 94.78%, respectively. For the female, genital tract inflammation ranked the first place which accounted for 45.93% and for the male, the liver function abnormality caused by hepatic adipose infiltration ranked the first place which accounted for 73.92% of the subjects. The lower the education degree, the higher the disease detection rate was. Conclusion： It is a tremendous need for a couple to receive the pre-pregnancy check at the same time. The education should be strengthened to the population with the low education. The guidance to the result of the examination and following-up visits More attention should be paid to the guidance to the result of the examination and following-up visits so that the occurrence of the birth defects is reduced.
出处
《上海医药》
CAS
2015年第8期57-59,共3页
Shanghai Medical & Pharmaceutical Journal
关键词
孕前检查
情况分析
出生缺陷
pre-pregnancy check
situation analysis
birth defects
