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目的探讨孕前优生健康检查对于降低出生缺陷,提高人口素质的重要性。方法为符合生育条件的、本年度内准备生育的4 258对夫妻,免费进行19项孕前优生检查,对检查结果进行分析。结果符合天津市高风险评估标准的高风险人数为434人,发生率为10.2%,符合全国平均水平。高风险人数中以ABO溶血、乙肝为主,占高风险人数的63%,其次为肝功能异常、血糖升高、促甲状腺激素异常、衣原体感染性阴道炎、智力障碍、肾功能异常、梅毒。结论通过孕前优生检查,以及医学卫生指导,可有效控制夫妻间性传播疾病的发生,降低出生风险,避免不良妊娠结局,达到提高出生人口素质的目的。
Objective To explore the importance of prenatal eugenics in reducing birth defects and improving population quality. Methods According to the fertility conditions, 4 258 couples who are going to give birth during the year were given free prenatal checkup of 19 prenatal eugenics and the results of the examination were analyzed. Results The number of high-risk patients meeting the high-risk assessment criteria of Tianjin was 434 with a prevalence of 10.2%, which was in line with the national average. ABO hemolysis and hepatitis B were the main risk factors in high risk population, accounting for 63% of the high risk population, followed by abnormal liver function, hyperglycemia, thyrotropin abnormalities, chlamydial infection vaginitis, mental retardation, renal dysfunction and syphilis. Conclusion Prenatal checkups for eugenics and medical and health guidance can effectively control the occurrence of sexually transmitted diseases among couples, reduce the risk of birth, avoid adverse pregnancy outcomes, and improve the quality of the birth population.