新婚和再生育夫妇孕前优生健康检查结果分析

王岚

（陕西省铜川市王益区妇幼保健计划生育服务中心，陕西 铜川，727000）

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摘要：

目的 研究新婚夫妇和再生育夫妇孕前优生健康检查的结果与生育风险。方法 选择2013年11月至2016年11月计划生育的夫妇3 984对，其中包括2 843对新婚夫妇和1 141对再生育夫妇。对这些夫妇进行免费孕前优生健康检查，对妊娠结局风险因素及风险程度进行评估。结果 新婚夫妇一般风险检出率高于再生育夫妇，而一类高风险、二类高风险及高风险 检出率均低于再生育夫妇（P<0.05），在风疹易感、血常规检查异常、肝炎及肝功能异常等方面，新婚夫妇的风险高于再生育夫妇（P<0.05）；在生殖道感染、性传播疾病、不良孕产史、生殖系统疾病等方面，再生育夫妇的风险高于新婚夫妇（P<0.05）。结论 对新婚夫妇和再生育夫妇进行孕前优生健康检查，能够为不良妊娠结局的预防提供帮助，从而降低新生儿出生缺陷发生率。

关键词：新婚夫妇；再生育夫妇；孕前优生健康检查

中图分类号：R169.1文献标志码：A文章编号：2096-1413(2017)19-0137-02

Analysis of pre-pregnancy health check results between newly-married and reproductive couples
WANG Lan
(Wangyi District Maternal and Child Health Family Planning Service Center of Tongchuan, Tongchuan 727000, China)

ABSTRACT: Objective To study pre-pregnancy health check results and the risk of birth between newly-married and reproductive couple. Methods From November 2013 to November 2016, 3 984 couples were selected as the research objects, including 2 843 newly-married and 1 141 reproductive couples. All the couples were given free pre -pregnancy health check, and the risk factors and risk levels of pregnancy outcomes were assessed. Results The detection rate of general risk of the newly-married coupls was higher than that of the reproductive couples, and the one type, two type of high risk and high risk in the newly-married couples were lower than those in the reproductive couples (P<0.05). The detection rates of rubella susceptibility, abnormal blood routine examination, hepatitis and abnormal liver function in the newly-married couples were higher those in the reproductive couple (P<0.05). The detction rate of reproductive tract infections, sexually transmitted diseases, abnormal pregnancy and reproductive system diseases in the reproductive couples were higher than those in the newly-married couples (P<0.05). Conclusion Giving pre-pregnancy health check for newly-married and reproductive couple can help to prevent the adverse pregnancy outcomes, thereby reduce the incidence of neonatal birth defects.

KEYWORDS: newly-married couple; reproductive couple; pre-pregnancy health check

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