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目的调查最佳生育年龄新婚夫妇人群的生殖健康问题,为制定切实可行的健康教育干预模式提供科学依据,以便更好地保护和促进育龄对象的健康权利。方法选择揭东县(区)、普宁市、榕城区3个点在2012年9月1日~2014年8月31日参加孕前优生健康检查的最佳生育年龄新婚夫妇,根据检查结果进行分析。结果通过病史询问、体格检查、生殖系统检查以及相关血液检查,发现影响最佳生育年龄生殖健康状况前六位的是:白带常规异常(39.15%,1413/3609)、体格检查发现异常(37.59%,2713/7218)、风疹病毒Ig G抗体阴性(36.46%,1316/3609)、病史询问发现异常(29.72%,2145/7218)、乙肝两对半异常(指除HBs Ab外,至少一项阳性,25.06%,1809/7218)、尿常规异常(19.83%,1431/7218)。结论孕前优生健康检查需要加强宣传教育,最佳生育年龄新婚夫妇人群的生殖健康问题需要得到重视,只有这样,人口素质才能得到真正的提高。
Objective To investigate the reproductive health problems of newly married couples with the best childbearing age and to provide a scientific basis for formulating a feasible mode of health education intervention so as to better protect and promote the health rights of people of childbearing age. Methods The best fertile age newly married couples who participated in prenatal eugenics examination from September 1, 2012 to August 31, 2014 in Jiedong (district), Puning and Rongcheng districts were selected and analyzed according to the test results. Results The top 6 most influential reproductive health status of the reproductive age was found by medical history examination, physical examination, reproductive system examination and related blood tests. The prevalence of leucorrhea (39.15%, 1413/3609), abnormal physical examination (37.59% , 2713/7218). Ig G antibody of rubella virus was negative (36.46%, 1316/3609). Abnormality of history was found (29.72%, 2145/7218), two pairs of semi-anomalies of hepatitis B , 25.06%, 1809/7218), urinary abnormalities (19.83%, 1431/7218). Conclusion Prenatal health checkups need to step up publicity and education. Reproductive health problems in newly married couples with the best birth age need to be emphasized. Only in this way can the quality of the population be truly improved.