102204例婚检女性疾病检出率及分类

Analysis on the disease detected in female premarital examination in 102204 people

目的 进一步强调女性婚前保健的必要性。 方法 婚前医学检查 (简称婚检 )按照卫生部《婚前保健工作规范》及《青岛市婚前保健服务基本标准》执行 ,对青岛市 2 0 0 0年至 2 0 0 1年10 2 2 0 4例婚检女性检出疾病情况进行回顾性分析。 结果 疾病检出率 8.1% ( 82 2 4 /10 2 2 0 4 ) ;生殖系统疾病占 36 .2 % ( 2 973/82 2 4 ) ,内科系统疾病占 19.8% ( 16 2 4 /82 2 4 ) ,严重遗传病及先天性疾病占 3.9% ( 32 2 /82 2 4 ) ,指定传染病占 3.7% ( 30 1/82 2 4 ) ,有关精神病占 0 .6 % ( 4 5 /82 2 4 ) ,其它系统疾病占 36 .0 % ( 2 95 9/82 2 4 ) ;有人流史者占婚检人群的 2 8.5 % ( 2 912 8/10 2 2 0 4 ) ;对患影响婚育疾病的 375人提出了医学处理意见 ,其中暂缓结婚 346人 ( 92 .3% ) ,不宜生育 2 9人( 7.3% )。 结论 做好婚前保健 ,是实现生殖健康的重要环节 。

Objective To emphasis the necessity of female premarital health care. Methods Premarital examination were done according to Ministry of Health on “work norm for premarital health care” and Qing Dao Public Health Bureau on “basic standard for premarital health care”.A retrospective review on disease detect in female premarital medical examination was carried out on 102 204 people from 2000 to 2001. Results 8 224 people with different diseases were founded.The rate of diseases detect was 8 1 %(8 224/102 204).The abnormal on reproductive system account for 36 2 %(2 973/8 224),the medical diseases for 19 8 %(1 624/82 24),the inherited and congenital disorders for 3 9 %(322/8 224),the stipulated infectious disease for 3 7 %(301/8 224),the mental disease for 0 6 %(45/8 224),the others account for 36 0 %(2 959/8 224).Twenty eight percent (29 128/102 204) of these cases had the history of induced abortion.Recommendations were given to 375 people depending on their health status.Three hundred forty six out of 375 were suggested postponing marriages.Birth control was suitable for 29 for the risk of medical,obstetrical,and genetic defects. Conclusion The female premarital health care plays an important role in achieving reproductive health.It is helpful to improve the quality of newborn population.