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目的分析永定县开展免费婚检的效果。方法对2012年婚检资料进行统计分析。结果必检项目与自愿选择项目拟婚者均接受。2012年婚检率达95.5%。9 184名婚检者中,疾病检出率12.1%,男性检出率(13.2%)比女性(10.8%)高。各类疾病以生殖系统疾病检出率最高(7.3%),其他系统疾病居次(3.6%),指定传染病1.2%,精神病1例,未检出遗传性疾病。生殖系统疾病中女性以生殖道感染为主(90.6%),男性以包皮过长和包茎为主(89.1%);指定传染病中乙肝占68.2%,梅毒24.3%,肺结核2.8%,艾滋病1.9%。未婚先孕率43.4%(1 993/4 592)。结论永定县2012年9 184名婚检者中,95.4%医学上宜结婚(男95.1%,女95.7%)。对检出疾病给予治疗指导,定期随访;同时做好婚前保健和孕期保健,达到提高出生人口素质的目的。
Objective To analyze the effect of free premarital examination in Yongding County. Methods The data of premarital examination in 2012 were statistically analyzed. The result must be seized items and the voluntary choice of the project are all accepted by the beloved. Premarital rate of 95.5% in 2012. Out of 9 184 premarital patients, the disease detection rate was 12.1%, and the detection rate of males (13.2%) was higher than that of females (10.8%). The highest prevalence of various diseases was found in reproductive system diseases (7.3%), followed by other systemic diseases (3.6%), 1.2% of designated infectious diseases and 1 psychosis. No genetic diseases were detected. Reproductive system diseases were mainly reproductive tract infections (90.6%) in men and mainly in prepuce and phimosis (89.1%). Of the designated infectious diseases, hepatitis B accounted for 68.2%, syphilis 24.3%, tuberculosis 2.8% and AIDS 1.9% . The unborn first pregnancy rate was 43.4% (1 993/4 592). Conclusion 95.4% of 9 184 pregnant women in Yongding County in 2012 were medically eligible to be married (95.1% male and 95.7% female). To detect the disease to give treatment guidance, regular follow-up; at the same time do premarital health care and pregnancy health, to improve the quality of the birth of the population’s purpose.