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目的:探讨孕前优生信息化服务模式在产前疾病筛查中的应用。方法:借助现代化的信息技术和手段,为育龄夫妇建立电子生殖健康档案,开展风险评估,对孕前保健的信息化服务模式进行探索。结果:2010年1月~2011年1月启动前在某医院初次孕检孕妇70 538人,参加产前筛查64 230人,总筛查率91.06%。参加筛查孕妇中,学历大专及以上35 497人,大专以下28 733人。2011年2月~2012年2月启动后在某医院初次孕检孕妇38 416人,参加产前筛查34 742人,总筛查率90.44%。参加筛查孕妇中学及大专以上19 519人,大专以下15 223人。2010年1月~2011年1月启动前与2011年2月~2012年2月启动后在产前唐氏综合征、地中海贫血及彩超等3个方面的初筛率无统计学差异(χ2=1.02、0.58、0.87,P>0.05)。在实施产前疾病筛查资料管理与随访系统后,产前疾病复筛率明显提高(χ2=5.85,P<0.05)。结论:医院综合建立全市统一产前疾病筛查资料管理与随访系统,提高妇幼保健信息处理的速度,提高信息的利用率,为育龄夫妇建立电子生殖健康档案,开展风险评估,可使妇幼保健工作由静态管理转向动态管理、由定性管理转向定量管理,降低出生缺陷发生率。
Objective: To explore the application of prenatal eugenics information service mode in prenatal disease screening. Methods: With the aid of modern information technology and means, we established electronic reproductive health records for couples of childbearing age, carried out risk assessment, and explored the information service mode of prenatal care. Results: From January 2010 to January 2011, 70 538 pregnant women were tested in a hospital before the start of pregnancy. A total of 64 230 prenatal screening tests were conducted, with a total screening rate of 91.06%. Among the pregnant women who participated in the screening, 35,497 were majored in academic qualifications and above and 28,733 were under-college. From February 2011 to February 2012, 38,416 pregnant women were tested at a hospital for the first time after their start-up, 34 742 were enrolled in antenatal screening, and the total screening rate was 90.44%. A total of 19,519 pregnant women attending secondary and tertiary education were enrolled in screening, and 15,223 were below tertiary level. There was no significant difference in the screening rate of pre-natal Down’s syndrome, thalassemia and color Doppler ultrasound between January 2010 to January 2011 and before February 2011 to February 2012 (χ2 = 1.02,0.58,0.87, P> 0.05). After implementing prenatal disease screening data management and follow-up system, the rate of prenatal disease screening was significantly increased (χ2 = 5.85, P <0.05). Conclusion: The hospital comprehensively established a unified prenatal screening management and follow-up system for prenatal screening to improve the speed of maternal and child health information processing, improve the utilization rate of information, establish electronic reproductive health records for couples of childbearing age, and carry out risk assessment so that maternal and child health care work From static management to dynamic management, from qualitative management to quantitative management, to reduce the incidence of birth defects.