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目的:分析长治市郊区妇幼保健院免费婚检人群的疾病检出情况,探讨干预措施,保证适婚人群的健康,提高出生人口素质,找出提高婚检率的对策。方法:对长治市郊区妇幼2010年1月~2012年12月共7610名夫妇免费婚前医学检查结果进行统计分析。结果:疾病总检出人数为1183人,疾病总检出率15.54%(1183/7610),男性的疾病检出率为10.99%(421/3828),女性疾病检出率为20.20(762/3772),女性疾病检出率高于男性;生殖系统疾病检出率女性高于男性。结论:婚前医学检查可以检出影响生育的多种疾病,对于降低孕期合并症,提高出生人口素质有不可忽略的重要意义。应加强婚前保健知识的宣传力度,提高婚配青年自我保健意识,医疗保健单位应采取人性化的服务吸引婚配青年自觉接受婚检保健服务,提高其婚姻生活质量,从而达到降低出生缺陷发生率的目的。
Objective: To analyze the disease detection of free premarital people in MCH in suburbs of Changzhi City, explore the intervention measures to ensure the health of married people, improve the quality of birth population and find out the countermeasures to improve premarital rate. Methods: The data of 7610 couples pre-marital medical examination from January 2010 to December 2012 in the suburbs of Changzhi city were statistically analyzed. Results: The total number of detected diseases was 1,183, the total disease detection rate was 15.54% (1183/7610). The detection rate of male disease was 10.99% (421/3828) and the female disease detection rate was 20.20 (762/3772 ), Female disease detection rate higher than men; reproductive system disease detection rate of women than men. Conclusion: Premarital medical examination can detect a variety of diseases that affect fertility. It is of great importance to reduce pregnancy complications and improve the quality of birth population. Prenuptial care knowledge should be strengthened to raise the awareness of self-care among young people. Health-care providers should adopt humane services to attract married youth to conscientiously receive pre-marriage health care services and improve the quality of their marital life so as to reduce the incidence of birth defects.