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目的:将自愿婚检时期与免费婚检时期的婚检情况进行比较,探讨婚前医学检查与围产期保健质量及出生人口缺陷的关系。方法:对张掖市2007年10月～2009年9月婚前医学检查年报表及围产保健、孕产妇死亡监测资料进行统计分析。结果:张掖市婚检率由自由婚检时的31.86%上升到免费婚检后的93.67%,免费婚检实施后高危孕产妇检出率低于自由婚检时期(P<0.05),肉眼可见出生缺陷发生率下降(P<0.05),围产期死亡率下降(P<0.05)。结论:免费婚前医学检查的实施对提高围产期保健质量、降低出生人口缺陷效果显著,对提高出生人口素质、构建和谐社会有积极意义。
OBJECTIVE: To compare the premarital medical examinations with the premarital medical examinations and the quality of perinatal care and the birth defects in a premarital period. Methods: Statistical analysis was conducted on the annual report of premarital medical examination and the monitoring data of perinatal health care and maternal mortality from October 2007 to September 2009 in Zhangye City. Results: The rate of premarital examination increased from 31.86% in free trial to 93.67% in free trial. The detection rate of high-risk pregnant women was lower than that of free premarital examination (P <0.05) (P <0.05), perinatal mortality decreased (P <0.05). Conclusion: The implementation of free pre-marital medical examination has significant effect on improving the quality of perinatal health care and reducing birth defects. It has positive significance for improving the quality of birth population and building a harmonious society.