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目的:为育龄夫妇提供健康保健服务,降低可能影响妊娠结局的危险因素,预防出生缺陷,提高出生人口素质。方法:对731对孕前检查的夫妇进行病史询问和疾病检测。结果:主动参加孕前保健的夫妇文化素质较高,女性不良孕产史发生率达11.08%,女性患病率37.89%,男性患病率43.78%。在影响优生的疾病中前3位的疾病,女性为阴道炎、甲状腺疾病、盆腔炎;男性为包皮过长、肝功能异常、精索静脉曲张Ⅱ度以上。结论:夫妇双方共同进行孕前检查是非常必要的;计划妊娠夫妇健康意识与行为有待提高;加强管理,应重视优生指导,对妊娠结局进行追踪,完善孕前检查工作。
Objectives: To provide health care services for couples of childbearing age, to reduce the risk factors that may affect the outcome of pregnancy, to prevent birth defects and to improve the quality of the birth population. Methods: 731 pairs of pre-pregnancy check the couple asked history and disease detection. Results: The couples who take the initiative to participate in prenatal care had higher cultural qualities, the incidence rate of adverse maternal history was 11.08%, the prevalence rate was 37.89% in women and 43.78% in males. In the first three diseases that affect eugenics, women are vaginitis, thyroid disease, pelvic inflammatory disease; men are prepuce, liver dysfunction, varicocele degree II or more. Conclusion: It is very necessary for both husband and wife to carry out preconception examination together. The health awareness and behavior of couples planning to be pregnant should be improved. In order to strengthen management, attention should be paid to the guidance of eugenics, the pregnancy outcome should be tracked and the preconception examination should be perfected.