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目的探索适合来宾市婚前医学检查(婚检)工作模式和运行机制,为下一步更好开展婚前保健工作提供依据。方法对参加婚姻登记的男女自愿参加婚检的提供免费婚前保健服务。同时从来宾市妇幼卫生信息网络直报系统,导出2011-2015年来宾市上报的妇幼卫生及婚前保健报表相关数据资料,婚检率及检岀影响婚育相关各类疾患阳性率进行回顾性分析和评估,比较实行免费婚检前后相关妇幼卫生指标的变化情况。结果 2011-2015年来宾市结婚登记人数212 732人,婚检人数206 100人。平均年婚检率96.88%,受检率逐年上升,婚检率由免费婚检前(2007年)的0.46%上升到2011年的94.85%后,每年婚检率一直保持90%以上,2015年上升到98.34%。通过婚检,对检出影响婚育相关疾患者进行卫生婚育指导,提供知情选择,采取有效干预措施,从而使出生缺陷发生率明显下降,由免费婚检前(2007年)的19.3‰,下降到2015年的8.86‰,取得显著效果。结论来宾市免费婚检项目的实施,对预防性传播疾病的平行传播和垂直传播、预防地中海贫血等出生缺陷发生具有显著的效果。
Objective To explore suitable pre-marital medical examination (pre-marital) work mode and operation mechanism in Laibin city and provide the basis for further pre-marital health care work. Methods The men and women who participated in the marriage registration volunteered to participate in the pre-marital examination to provide free pre-marital health care services. At the same time, from Laibin Maternal and Child Health Information Network Direct Reporting System, the data of maternal and child health and premarital health reports reported by Laibin from 2011 to 2015 were deduced, and the rate of premarital examination and the positive rate of the various diseases related to marriage and childbirth were analyzed retrospectively. Assessment, comparison of the implementation of free pre-marital examination related changes in maternal and child health indicators. Results In 2011-2015, Laibin City registered 212,732 marriages and the number of premarital clinics was 206,100. The average rate of annual premarital examination was 96.88%. The rate of premarital examination increased year by year. The rate of premarital examination increased from 0.46% of pre-trial premarital (2007) to 94.85% of 2011. The annual rate of premarital examination remained above 90% in 2015 and rose to 98.34% . Through premarital examination, we conducted guidance on maternal marriage and childbirth, provided informed choices and effective interventions so that the incidence of birth defects dropped significantly from 19.3 ‰ before pre-trial pre-trial (2007) to 8.86 ‰ in 2015, achieved remarkable results. Conclusion The implementation of the free pre-maritalization project in Laibin City has a significant effect on the prevention of birth defects such as the parallel transmission and vertical transmission of sexually transmitted diseases and the prevention of thalassemia.