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目的:探讨国家免费孕前优生健康检查随访服务模式及其应用效果。方法:选取2012年10月至2015年12月进行国家免费孕前优生健康检查的8253对已婚育龄夫妻作为研究对象,对其进行孕前优生检查,并对其进行随访,观察其妊娠结局。结果:8253对夫妻中共有7056对夫妻随访成功,其中3675对夫妻成功受孕,所占比例为52.08%;所有胎儿均为单胎妊娠,且均成功存活,出生缺陷儿共有39例,出生缺陷发生率为1.06%,排名前5位的出生缺陷发生率从高至低依次排列分别为神经管畸形、地中海贫血、唇腭裂、先天聋哑、先天性心脏病。结论:对已婚育龄夫妻实施国家免费孕前优生健康检查,并对其进行随访,可有效筛查出出生缺陷儿,为减少出生缺陷的发生起到促进作用。
OBJECTIVE: To explore the follow-up service mode and its application effect of national prenatal elective health examination. Methods: A total of 8253 married couples of childbearing age were selected from October 2012 to December 2015 to conduct prenatal eutopic pregnancy check-up and their pregnancy outcomes were observed. Results: A total of 7,056 couples in 8253 couples were followed up successfully, of which 3675 couples were conceived successfully, accounting for 52.08%. All fetuses were singleton pregnancies and survived successfully. There were 39 birth defects and birth defects Rate of 1.06%, the top 5 birth defects in the order from high to low were neural tube defects, thalassemia, cleft lip and palate, congenital deafness, congenital heart disease. Conclusion: The implementation of the national free prenatal eugenics health checkup for married couples of childbearing age and their follow-up can effectively screen out birth defects and promote the reduction of birth defects.