目的调查了解我市地中海贫血高风险夫妇对优生遗传咨询的认知状况,为开展优生优育,降低重度地贫儿出生率,提高出生人口素质提供相关依据。方法对2013年1月至2014年1月在我院优生遗传咨询门诊进行咨询的地中海贫血高风险夫妇采用调查问卷形式进行调查,并对其咨询情况进行回顾性分析。结果地中海贫血高风险夫妇孕前咨询明显少于孕期咨询,两者比较有显著差异(P<0.01),地中海贫血高风险夫妇主动性咨询的明显少于遵医嘱性咨询,两者比较有显著差异(P<0.01)。咨询后的优生遗传知识知晓率明显增高(P<0.01)。结论我市地中海贫血高风险夫妇对优生遗传咨询的认知性较为缺乏,孕前咨询率、主动性咨询率低,需要多部门协助进一步对地中海贫血高风险夫妇开展优生遗传咨询重要性和必要性的健康宣教。 Objective To investigate the cognition of genetic counseling for prenatal health of couples with high risk of thalassemia in our city and to provide relevant evidences for the development of prenatal and postnatal care, reducing the birth rate of severe children and improving the quality of birth population. Methods From January 2013 to January 2014 in our hospital eugenics counseling outpatient counseling couples with high risk of thalassemia questionnaire survey conducted in the form of questionnaires, and the consultation conducted a retrospective analysis of the situation. Results The pre-pregnancy counseling of high-risk couples with thalassemia was significantly less than that of pre-pregnancy counseling, there was significant difference between the two (P <0.01). There was a significant difference in active counseling among couples with high risk of thalassemia compared with that of doctor- P <0.01). After consultation, the awareness rate of eugenics was significantly higher (P <0.01). Conclusion The high risk of thalassemia in our city is lack of cognition on prenatal genetic counseling. The consultation rate before counseling and counseling rate during pregnancy are low, so there is a need for multisectoral assistance to further the importance and necessity of genetic counseling for eutopic patients with high risk for thalassemia Health mission.