浙江省缙云县7792例孕前优生健康检查结果分析

Analysis of 7792 pre-pregnancy eugenics health examination in Jinyun county

目的了解浙江省缙云县免费孕前优生健康检查人群的高风险因素,探讨风险干预措施及Rh血型、肾功能(肌酐)、甲状腺功能(TSH)检测在孕前优生检查中的应用价值。方法对2017年1月-2018年12月自愿参加免费孕前优生健康检查的7792例计划怀孕夫妇的检查结果和高风险因素进行研究分析。结果参检者7792例,其中男性3788例、女性4004例;筛查出高风险人群1180例(15. 14%),其中男性452例(11. 93%)、女性728例(18. 18%);高风险因素分布前四位依次为:TORCH病毒感染、妇科疾病、乙肝五项检测异常、甲状腺功能异常。其中TSH检测异常321例(8. 02%),Rh血型阴性19例(0. 25%),肾功能(肌酐)异常11例(0. 14%)。结论加强免费孕前优生健康检查和风险干预,大力推广免费孕前Rh血型、肾功能(肌酐)、TSH检测,有效减少出生缺陷发生。

Objective To understand the high risk factors of free pre-pregnancy eugenics health examination population in Jinyun County,and to explore the risk interventions measures and the application value of Rh blood group,renal function(creatinine)and thyroid function(TSH)in pre-pregnancy eugenics examination in order to reduce birth defects.Method A descriptive analysis was used to analyze the test results and the high risk factors of 7792 planned pregnant couples who volunteered to participate in the free prepregnancy eugenics examination between January 2017 and December 2018.Result 7792 planned pregnant couples were examined,including 3788 males(48.61%)and 4004 females(51.39%);Top four high risk factors were:TORCH infection,gynecological diseases,abnormal detection of five items of hepatitis B,and abnormal thyroid function.There were 321 cases of abnormal TSH(8.02%),19 cases of Rh type negative(0.25%),and 11 cases of creatinine abnormality(0.14%).Conclusion Pre-pregnancy eugenics examination has an important role in preventing birth defects.Strengthening free pre-pregnancy eugenics health check and risk intervention,and promoting the examination of Rh blood group,creatinine and TSH can effectively reduce birth defects.