免费孕前优生健康检查高风险人群结果分析
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摘要
目的通过对天津市滨海新区大港片区计划妊娠的夫妇进行孕前优生检查的结果分析,对引起出生缺陷的高风险因素及高风险人群进行有效干预、追踪随访,从而达到减少出生缺陷风险的发生。方法对天津市滨海新区大港片区2013-01/2018-09计划妊娠的9 409例夫妇(女性5 091人,男性4 318人)进行孕前优生检查,包括优生优育宣教、病史问询、体格检查、临床实验室检查、风险评估、早孕随访和妊娠结局随访。结果检测出高风险人群2 226例(23.66%)。其中男性796例,高风险发生率18.43%。女性1 430例,高风险发生率28.09%。结论通过对计划妊娠的夫妇进行孕前优生健康检查,对引起不良妊娠结果的高风险因素进行有效干预,并通过随访追踪,可以有效减少出生缺陷的发生。
Objective To analyze the results of prenatal eugenics examination for couples with planned pregnancy in Dagang district, Binhai new area, Tianjin, and to effectively intervene and follow up the high-risk factors and high-risk population that cause birth defects,so as to reduce the risk of birth defects. Methods A total of 9 409 couples(including 5 091 females and 4 318 males)with planned pregnancy in Dagang district, Binhai new area, Tianjin city from January 2013 to September 2018 were examined for prenatal eugenics,including eugenics education,medical history inquiry, physical examination, clinical laboratory examination, risk assessment, early pregnancy follow-up and pregnancy outcome follow-up. Results 226 high-risk population were detected,accounting for 23.66% of the total. Among them,796 were male,with a high risk rate of 18.43%.There were 1 430 women,with a high risk rate of 28.09%. Conclusion Pre-pregnancy eugenic health examination for couples with planned pregnancy can effectively intervene the high risk factors of adverse pregnancy outcomes, and follow-up can effectively reduce the incidence of birth defects.
Objective To analyze the results of prenatal eugenics examination for couples with planned pregnancy in Dagang district, Binhai new area, Tianjin, and to effectively intervene and follow up the high-risk factors and high-risk population that cause birth defects,so as to reduce the risk of birth defects. Methods A total of 9 409 couples(including 5 091 females and 4 318 males)with planned pregnancy in Dagang district, Binhai new area, Tianjin city from January 2013 to September 2018 were examined for prenatal eugenics,including eugenics education,medical history inquiry, physical examination, clinical laboratory examination, risk assessment, early pregnancy follow-up and pregnancy outcome follow-up. Results 226 high-risk population were detected,accounting for 23.66% of the total. Among them,796 were male,with a high risk rate of 18.43%.There were 1 430 women,with a high risk rate of 28.09%. Conclusion Pre-pregnancy eugenic health examination for couples with planned pregnancy can effectively intervene the high risk factors of adverse pregnancy outcomes, and follow-up can effectively reduce the incidence of birth defects.
引文
[1]干建群,黄世林.免费孕前优生健康检查在出生缺陷干预中的应用价值[J].中国妇幼保健,2017,32(21)5198-5200.
[2]周永玲,渠利霞,朱丽丽,等.我国婚前医学检查文献的回顾性分析[J].中国妇幼保健,2016,31(8):1781-1783.
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[4]刘可,朱洁明,黄嘉欣,等.基于国家免费孕前优生健康检查的中医健康管理模式对预防新生儿出生缺陷的临床价值分析[J].广西医科大学学报,2017,34(7):1055-1058.
[5]余豪情,杨文静,尧丽,等.8587例孕前优生健康检查结果回顾性分析[J].中国医学创新,2013,10(33):120-121.
[6]李玲霜,刘恩秀,李琳,等.沂南地区10434对夫妇免费孕前优生健康检查评估结果分析[J].中国优生与遗传杂志,2015,25(11):73-74.
[7]李薇薇.TSH检测在孕前优生检查中的应用价值[J].中国实用医药,2018,13(7):61-62.
[8]汤恋花,彭忠秀,李晶,等.孕前优生检查及指导对合并乙肝病毒感染的HIV感染孕妇妊娠结局的影响[J].包头医学院学报,2018,34(3):94-97.
[9]王海琪,毛红芳.上海市嘉定区1967例孕前检查病例结果分析[J].中国妇幼保健,2014,29(35):5806-5809.
[10]李建微.10 014对夫妇孕前优生健康检查的高风险人群回顾性分析[J].中国优生与遗传杂志,2014,22(6):79-80.
[2]周永玲,渠利霞,朱丽丽,等.我国婚前医学检查文献的回顾性分析[J].中国妇幼保健,2016,31(8):1781-1783.
[3]朱锦霞.TSH检验在育龄妇女优生优育中的指导价值分析[J].临床医学研究与实践,2016,1(1):75-75.
[4]刘可,朱洁明,黄嘉欣,等.基于国家免费孕前优生健康检查的中医健康管理模式对预防新生儿出生缺陷的临床价值分析[J].广西医科大学学报,2017,34(7):1055-1058.
[5]余豪情,杨文静,尧丽,等.8587例孕前优生健康检查结果回顾性分析[J].中国医学创新,2013,10(33):120-121.
[6]李玲霜,刘恩秀,李琳,等.沂南地区10434对夫妇免费孕前优生健康检查评估结果分析[J].中国优生与遗传杂志,2015,25(11):73-74.
[7]李薇薇.TSH检测在孕前优生检查中的应用价值[J].中国实用医药,2018,13(7):61-62.
[8]汤恋花,彭忠秀,李晶,等.孕前优生检查及指导对合并乙肝病毒感染的HIV感染孕妇妊娠结局的影响[J].包头医学院学报,2018,34(3):94-97.
[9]王海琪,毛红芳.上海市嘉定区1967例孕前检查病例结果分析[J].中国妇幼保健,2014,29(35):5806-5809.
[10]李建微.10 014对夫妇孕前优生健康检查的高风险人群回顾性分析[J].中国优生与遗传杂志,2014,22(6):79-80.