商丘市免费孕前优生健康检查结果及风险因素分析

Results and risk factors of free pre-pregnancy eugenic health checkups in Shangqiu

目的:分析商丘市免费孕前优生健康检查结果及风险因素。方法:抽取2017年1月至2019年1月于商丘市妇幼保健院行免费孕前优生健康检查的96对夫妇,其中风险人群共76例。另抽取同期未行孕前优生健康检查的夫妇91对。回顾性分析孕前优生健康检查结果及风险人群风险因素,比较实施与未实施孕前检查者成功妊娠、不良妊娠结局情况。结果:96对夫妇(192例受检对象)中女性风险人群45例(46.88%,45/96),男性风险人群31例(32.29%,31/96)。风险人群中风险因素居前3位者女性依次为不良妊娠史(35.56%,16/45)、高龄(33.33%,15/45)、乙型肝炎病毒感染(26.67%,12/45),男性依次为吸烟(87.10%,27/31)、饮酒(64.52%,20/31)、乙型肝炎病毒感染(35.48%,11/31)。实施孕前优生健康检查者成功妊娠率高于未实施孕前检查者(χ^(2)=3.973,P=0.046)。实施孕前优生健康检查者不良分娩结局9例(9.38%,9/96),低于未实施孕前检查者的32例(35.17%,32/91),P<0.05。结论:免费孕前优生健康检查结果示风险人群检出率较高,不良分娩结局少,主要风险因素为不良妊娠史、高龄、吸烟、饮酒、乙型肝炎病毒感染。

Objective To analyze the results and risk factors of free pre-pregnancy eugenic health checkups in Shangqiu.Methods The clinical data of 96 couples who underwent free pre-pregnancy eugenic health checkups in Shangqiu Maternal and Child Health Care Hospital from January 2017 to January 2019 were collected,there were 76 cases of risk population among them.Another 91 couples who did not undergo pre-pregnancy eugenic health checkups were selected during the same period.The results of pre-pregnancy health checkups and risk factors of risk population were retrospectively analyzed,and the successful pregnancy and adverse pregnancy outcomes of those who performed and did not perform pre-pregnancy checkups were compared.Results Among 96 couples(192 subjects),45 were female at-risk population(46.88%,45/96),and 31 were male at-risk population(32.29%,31/96).The top three risk factors among the risk population were women with poor pregnancy history(35.56%,16/45),advanced age(33.33%,15/45),and hepatitis B virus infection(26.67%,12/45),the males were smoking(87.10%,27/31),drinking(64.52%,20/31),and hepatitis B virus infection(35.48%,11/31).The successful pregnancy rate of those who performed pre-pregnancy health checkup was higher than those who did not perform pre-pregnancy checkup(χ^(2)=3.973,P=0.046).Nine cases(9.38%,9/96)who performed pre-pregnancy health checkups had poor delivery outcomes,which were lower than 32 cases(35.17%,32/91)who did not perform pre-pregnancy checkups,P<0.05.Conclusions The results of the free pre-pregnancy eugenic health check show that the detection rate of the risk population is higher,and the adverse delivery outcome is less.The main risk factors are adverse pregnancy history,advanced age,smoking,drinking,and hepatitis B virus infection.