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目的分析兰州市2010-2014年婚前医学检查(简称婚检)与出生缺陷的关系,进一步加强婚前医学检查工作,为降低出生缺陷提供科学依据。方法对兰州市婚前医学检查情况年报表及出生缺陷围产儿季报表及缺陷卡进行整理分析。结果 5年来兰州市婚前医学检查率受国家取消强制婚检政策、该市民政部门支持力度的影响起伏变化较大。2014年婚前医学检查率为42.25%,较2010年下降了55.04%;出生缺陷发生率2014年为138.25/万,较2010年上升了40.25%。结论婚前医学检查率的提高对降低出生缺陷发生率有着重要的关系;未来的工作重点是争取政府出面,与民政计生部门合作,加强婚前医学保健服务工作。
Objective To analyze the relationship between premarital medical examination (CRF) and birth defects in Lanzhou City from 2010 to 2014, further strengthen premarital medical examination and provide a scientific basis for reducing birth defects. Methods The report of premarital medical examination in Lanzhou city and the quarterly report of perinatal births and birth defects and defect cards were analyzed. Results In the past five years, the rate of premarital medical examination in Lanzhou City was canceled by the State with the policy of compulsory premarital examination, and the influence of municipal civil affairs departments in support of the city fluctuated greatly. The premarital medical examination rate in 2014 was 42.25%, down 55.04% from 2010; the incidence of birth defects in 2014 was 138.25 / million, up 40.25% from 2010. Conclusions The increase of premarital medical examination rate has an important relationship to reduce the incidence of birth defects. The focus of future work is to get the government to step forward and work with the family planning and family planning departments to strengthen premarital medical and health care services.