孕前优生健康检查中高风险人群的影响因素分析

Analysis of Influencing Factors of High-risk Population in Pre-pregnancy Eugenic Health Check

目的分析孕前优生健康检查中高风险人群的影响因素。方法选择确山县疾病预防控制中心2019年2月至2020年2月接受孕前优生健康检查者185例,根据《孕前优生健康检查风险评估指导手册》将其分为高风险人群、一般人群。记录高风险人群发生率,分析男性、女性孕前优生健康检查结果,并以logistic回归分析孕前优生健康检查结果的影响因素。结果185例接受孕前优生健康检查者中高风险人群发生率为23.78%,其中女性占比28.72%,男性占比18.68%;高风险人群和一般人群被动吸烟、高龄产妇、肥胖、有无生殖系统疾病、慢性疾病、酗酒、吸烟、接触放射线、乙型肝炎病毒感染、环境化学毒害物情况比较,差异有统计学意义(P<0.05)。logistic分析显示,年龄>35岁、体质量指数(BMI)>28 kg·m^(-2)、慢性疾病为影响女性孕前优生健康检查结果的独立危险因素,吸烟酗酒、接触放射线过多、乙型肝炎病毒感染为影响男性孕前优生健康检查结果的独立危险因素(P<0.05)。结论年龄>35岁、BMI>28 kg·m^(-2)、慢性疾病、吸烟酗酒、接触放射线过多、乙型肝炎病毒感染是影响孕前优生健康检查结果的重要危险因素,临床需早期明确以上因素,采取针对性措施,改善人口出生质量。

Objective To analyze the influencing factors of the high-risk population in the pre-pregnancy eugenic health check.Methods A total of 185 patients in Queshan Center for Disease Control and Prevention from February 2019 to February 2020 who received pre-pregnancy eugenic health checkup were selected and divided into high-risk groups and general populations according to the Guideline for Risk Assessment of Pre-pregnancy Prenatal Health Checkup.The incidence of high-risk populations was recorded,the results of pre-pregnancy health checkups for men and women were analyzed,and the influencing factors of the pre-pregnancy health checkups were analyzed by logistic regression.Results The incidence of high-risk population among the 185 patients who underwent pre-pregnancy eugenic health examination was 23.78%,of which 28.72%were women and 18.68%were men.There were differences in passive smoking,elderly women,obesity,and whether there were reproductive system diseases,chronic diseases,alcoholism,smoking,exposure to radiation,hepatitis B virus infection,and environmental chemical poisons between the high-risk population and the general population(P<0.05).Logistic analysis shows that age>35 years old,body mass index(BMI)>28 kg·m^(-2),chronic diseases were the independent risk factors that affect the results of the pre-pregnancy eugenic health examination for women.Smoking and alcohol abuse,excessive exposure to radiation,and hepatitis B virus infection were independent risk factors that affect the results of the pre-pregnancy eugenic health examination for men(P<0.05).Conclusion Age>35 years old,BMI>28 kg·m^(-2),chronic diseases,smoking and alcoholism,excessive exposure to radiation,and hepatitis B virus infection are important risk factors affecting the results of pre-pregnancy eugenic health examinations.The above factors need to be identified early in clinical practice and targeted measures to improve the birth quality of the population.