阜阳市颍泉区2013-2017年孕前优生健康检查结果与分析

Results and analysis of prenatal health examination in Yingquan district of Fuyang from 2013 to 2017

目的通过对阜阳市颍泉区5年来的孕前优生健康检查(孕优检查)结果分析,发现存在的问题,探讨今后努力的方向。方法从国家免费孕前优生健康检查项目信息管理系统导出2013-2017年检查资料进行汇总,分析高风险人群检出情况和检查人群年度内的妊娠结局。结果 5年来颍泉区孕前优生健康检查44 446人,共检出高风险人群7936人,高风险率17. 86%,经统计学检验呈逐年上升趋势(P <0. 001);其中女性高风险率12. 56%高于男性高风险率5. 30%,差别有统计学意义(P <0. 001)。孕优检查有明显的季节性,每年的1-2月份是孕优的高峰时期,全年2/3的检查任务集中在这2个月完成。2013-2017年度内妊娠率平均为27. 43%,出生缺陷发生率平均为7. 87‰,5年来出生缺陷发生率变化趋势没有规律(P>0. 05)。结论孕前优生健康检查对降低出生缺陷、提高出生人口素质具有重要意义,但也存在扎堆检查、妊娠率低的问题。下一步的工作重点是找准目标人群、多举措安排检查时间,提高随访的质量,与综合医院联合开通转诊绿色通道,达到孕前优生检查的目的。

Objective To analyze the results of pre-pregnancy eugenic health examination in Yingquan District of Fuyang city in the past five years,find out the existing problems and explore the direction of future efforts.Methods The examination data from2013 to 2017 were exported from the information management system of the national free pre-pregnancy eugenic health examination program,and the detection of high-risk population and the pregnancy outcome of the population during the year were analyzed.Results In the past five years,44 446 pre-pregnancy eugenics were examined in Yingquan district,7936 high-risk people were detected,with a high risk rate of 17.86%.It showed an increasing trend year by year by statistical test(P<0.001).Among them,the high risk rate of women was 12.56%.It was higher than that of men(5.30%).The difference was statistically significant(P<0.001).The pregnancy test has obvious seasonality.January-February of each year is the peak period of pregnancy test,and 2/3 of the test tasks of the whole year are completed in these 2 months.In 2013-2017,the average pregnancy rate was 27.43%,and the average incidence of birth defects was 7.87‰.There was no regular trend in the incidence of birth defects in the past five years(P>0.05).Conclusion Pre-pregnancy eugenic health check-up is of great significance in reducing birth defects and improving the quality of the birth population However,there are also problems,such as cluster check-up and low pregnancy rate.The Priorities for the next step is to identify the target population,arrange the examination time with various measures,improve the quality of follow-up,and open a green referral channel in conjunction with the general hospital to achieve the goal of prenatal eugenics examination.