高龄备孕女性孕前筛查情况分析

Analysis of screening before pregnancy for women with advanced age expecting to be pregnant

目的:分析高龄备孕女性(年龄≥35岁)孕前筛查情况,为优生优育提供指导。方法:对所有高龄备孕女性进行现场咨询和临床检查,并建立个人档案。观察高龄备孕女性的宫颈疾病、卵巢储备功能下降、子宫肌瘤等异常情况及不同年龄段对比,并根据检查结果对高龄备孕女性进行孕前指导。结果:89例高龄备孕女性孕前筛查均存在异常情况,以宫颈疾病最多,其次为卵巢储备功能下降,再次为子宫肌瘤。<40岁者(65例)和≥40岁者(24例)宫颈疾病发生率比较,差异无统计学意义(P>0.05);但≥40岁者较<40岁者,卵巢储备功能下降率、子宫肌瘤发生率高(P<0.05)。89例高龄备孕女性,有56例建议治疗后受孕,占总例数的62.92%。结论:高龄备孕女性进行孕前筛查十分必要,需根据筛查结果进行科学备孕,科学生育。

Objective： To analyse screening before pregnancy for women with advanced age expecting to be pregnant（ age ≥35 years）,providing guidance for eugenics. Methods： On-site consultation and clinical examination were carried out for all the participants with advanced age expecting to be pregnant,with the personal files established. The cervical diseases,the decrease of ovarian reserve function,the abnormality of uterine fibroids and the contrast between different age groups were observed and the participants were given pre-pregnancy guidance according to the results of the examination. Results： The screening of the 89 women with advanced age expecting to be pregnant was all abnormal,in which cervical diseases were the most common,followed by ovarian reserve dysfunction and uterine fibroids. There was no statistically significant difference between the women less than 40 years old（ 65 cases） and those more than and equal to 40 years old（ 24 cases）（ P〉0. 05）; Of the 89 cases studied,56 were pregnant after treatment,accounting for 62. 92 % of the total number. Conclusion： It is necessary to carry out pre-pregnancy screening for women with advanced age expecting to be pregnant and to scientifically prepare for pregnancy and give birth.