孕前优生健康检查一般风险因素分析

Analysis of the general risk factors in pre- pregnancy eugenics inspection

目的探讨计划妊娠的夫妇孕前风险因素,降低导致出生缺陷等不良妊娠结局的风险因素。方法收集深圳市罗湖区2013年9 429名计划妊娠夫妇的免费孕前优生检查资料,对待孕夫妇存在的孕前风险因素进行分析。结果女性孕前风险因素排在前五位的是:生殖系统检查异常(60.51%)、甲状腺功能异常(23.56%)、环境风险因素(19.83%)、低体重(18.53%)、不良妊娠史(13.58%)。男性风险因素排在前五位的是:超重和肥胖(41.94%);生殖系统检查异常(30.39%)、吸烟(28.76%)、环境风险因素(20.66%)、心理风险因素(19.14%)。结论应针对孕前风险因素对已婚育龄夫妇进行规范化的孕前优生指导,加强一级预防,减少出生缺陷儿的发生率。

Objective Through the analysis of the result among planned pregnancy couples with pre- pregnancy eugenics inspection,reduce the risk factors associated with birth defects or other adverse pregnancy outcomes in planned pregnancy couples.Methods Collect and analyze the results of 9 429 people of planned pregnancy couples with free pre- pregnancy eugenics inspection during 2013,to find out the risk factors before pregnancy. Results According to the analysis of the inspection results,the top five risk of the factors before pregnancy of female are： abnormality of genital system（ 60. 51 %）,thyroid dysfunction（ 23. 56 %）,environment risk factor（ 19. 83 %）,low body weight（ 18. 53 %）,abnormal pregnancy（ 13. 58 %）. The top five risk of the factors male are： hypergravitation and obesity（ 41. 94 %）,abnormality of genital system（ 30. 39 %）,smoking（ 28. 76 %）,environment risk factor（ 20. 66 %）,psychological hazard（ 19. 14 %）. Conclusion Strengthen pre- pregnancy eugenics inspection of child- bearing age couples,standardize pre- pregnancy guidance and effective primary prevention have important significance for reducing the incidence of birth defects.