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目的:通过分析石屏县孕前优生检查的结果,总结计划怀孕夫妇生育高危因素,降低新生儿出生缺陷率,实现优生优育。方法:选取我县计划生育服务站在2013年1月1日-2013年12月31日进行孕前健康检查的2489例夫妇为研究对象,回顾性分析所有夫妇的孕前优生检查结果。结果:病史询问结果显示既往病史异常者1324例(53.2%),常规体格检查异常者717例(28.8%),生殖系统检查结果显示异常者186例(7.5%),其中女性中生殖系统异常者150例(10.5%),男性中生殖系统异常者36例(3.4%)。抗梅毒螺旋体抗体试验(TPAb)阳性10例(0.4%),风疹病毒Ig-G抗体检查阳性849例(60%),巨细胞病毒Ig M抗体检查阳性10例(0.7%),巨细胞病毒Ig G抗体检查阳性894例(63.2%),弓形虫Ig M抗体检查阳性5例(0.35%),弓形虫Ig G抗体检查阳性60例(4.24%)。结论:石屏县计划怀孕夫妇孕前风险因素较高,应加大孕前保健宣传,提高孕前夫妇的健康意识,积极预防疾病,降低缺陷新生儿出生率,提高出生人口素质。
OBJECTIVE: To analyze the results of prenatal eutopic pregnancy in Shibing County, summarize the risk factors of fertility of pregnant couples and reduce the birth defects rate of newborns so as to achieve prenatal and postnatal care. Methods: A total of 2489 couples who performed preconception examination during January 1, 2013 - December 31, 2013 were selected as the study objects. The results of prenatal eugenics examinations of all couples were retrospectively analyzed. Results: The results of medical history showed that there were 1324 cases (53.2%) with abnormal history, 717 cases (28.8%) with abnormal physical examination, and 186 cases (7.5%) with abnormal reproductive system. Among them, 150 cases (10.5%), 36 cases of abnormal reproductive system in men (3.4%). 10 (0.4%) were positive for anti-Treponema pallidum antibody (TPAb), 849 (60%) were positive for rubella virus Ig-G antibody and 10 (0.7%) for cytomegalovirus Ig M antibody. Cytomegalovirus Ig 894 (63.2%) were positive for G antibody test, 5 (0.35%) were positive for IgM antibody test for Toxoplasma gondii and 60 (4.24%) were positive for IgG antibody test for Toxoplasma gondii. Conclusion: The pre-pregnancy risk factors of planned pregnant couples in Shibing County are high. Pre-pregnancy health promotion should be stepped up to improve the health awareness of couples before pregnancy, prevent diseases actively, reduce the birth rate of defective newborns and improve the quality of birth population.