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目的了解辽宁省计划怀孕夫妇孕前健康情况。方法对2013年辽宁省接受孕前优生健康检查的计划怀孕夫妇档案信息进行统计分析。结果共207 979人接受孕前健康检查,其中61 311人评估为具有高风险因素,高风险检出率为29.48%;男性高风险人群中,吸烟构成比最高(45.76%),其次为饮酒(41.14%)、被动吸烟(36.71%)、谷丙转氨酶异常(24.83%)、乙肝五项检测异常(15.63%)、肌酐异常(12.23%)、接触毒害物(10.71%)和未做好怀孕准备(5.82%);女性高风险人群中,风险因素由高到低依次是曾经有不良妊娠结局(35.93%)、体重超重或肥胖(30.58%)、年龄>35岁(25.88%)、肌酐异常(21.24%)、被动吸烟(18.27%)及甲状腺激素异常(17.22%)。结论辽宁省计划怀孕夫妇高风险发生率比较高,建议根据高风险人群风险因素的发生情况采取个性化的孕前优生指导服务,减少或消除风险因素的发生。
Objective To understand the pre-pregnancy health status of pregnant couples in Liaoning Province. Methods A statistical analysis was made on the archives of pregnant couples who were undergoing prenuptial elective health examination in 2013 in Liaoning Province. Results A total of 207 979 people received pre-pregnancy health check-ups, of which 61 311 were assessed as high-risk and 29.48% for high-risk groups. Among the men at high risk, smoking was the highest (45.76%), followed by alcohol Passive smoking (36.71%), alanine aminotransferase abnormalities (24.83%), hepatitis B five abnormalities (15.63%), creatinine anomalies (12.23%), contact poison (10.71%) and not pregnant 5.82%). Among the female risk groups, the risk factors from high to low were adverse pregnancy outcomes (35.93%), overweight or obesity (30.58%), age> 35 years old (25.88%), creatinine abnormalities %), Passive smoking (18.27%) and abnormal thyroid hormone (17.22%). Conclusions The incidence of pregnant couples in planned pregnancy in Liaoning Province is relatively high. It is suggested that personalized pre-pregnancy eugenics guidance service should be taken according to the risk factors of high-risk population so as to reduce or eliminate the occurrence of risk factors.