河南省唐氏综合征产前筛查情况分析

Prenatal screening for Down's syndrome in Henan province

目的调查和分析2012年河南省产前筛查现状,为产前筛查的普及提供科学依据。方法应用以人群为基础的妇幼卫生监测系统,由经过培训和授权的卫生保健工作者负责数据的收集和审核,对1 657 257名孕妇接受产前筛查情况进行分析。结果全省产前筛查孕妇344 583人,产前筛查率为20.79%,城镇为34.81%,高于农村的15.87%;全省高风险率为5.73%,城镇为7.11%,高于农村的4.67%;18个地市的产前筛查率和高风险率明显不同;不同级别医疗机构产前筛查开展率、产前筛查率和高风险率均不同。结论河南省产前筛查率低于全国平均水平,城镇产前筛查率和高危率明显高于农村,产前筛查率与各地市的人均GDP、医疗水平和城镇地区人口比例有关;产前筛查开展率、筛查率和高风险率均与医院的医疗水平有关。

Objective To investigate the situation of prenatal screening in Henan province in2012 and to provide a basis for the popularity of prenatal screening.Methods Data were collected from a population-based maternal and child health surveillance system.The data included 1 657 257 pregnant women receiving prenatal screening in 2012 at 2 637 qualified childbirth health institutions and reviewed by trained and licensed health care providers.Results The total number（rate）of prenatal screening in Henan province was 344 583（20.79%）,with a higher rate in urban areas（34.81%）than in rural areas（15.87%）.The rate of high-risk for Down syndrome for the pregmnant women of whole province was 5.73%,with a higher rate in urban areas（7.11%）than in rural areas（4.67%）and obvious different rates among 18 cities.The medical institutions at different administrative levels reported different prenatal screening rate and high-risk rate for Down’s syndrome for the pregnant women.Conclusion Prenatal screening rate of Henan province is lower than the national average level.The prenatal screening rate and high-risk rate for Down’s syndrome in urban areas are significantly higher than those in rural areas.The prenatal screening rate correlates to regional average gross domestic product,health cecre level and the ratio of urban population.