重庆市渝中区4 466例女性免费孕前检查结果分析

目的:了解重庆市渝中区免费孕前检查妇女的健康状况,为本地区育龄女性孕前保健提供依据,探讨孕前检查的重要意义.方法:回顾性分析2013年1月-2016年12月4 466例在我院参加国家免费孕前健康检查的育龄女性检查结果,运用SAS 9.4对数据进行统计分析.结果:不同年龄段女性疾病检出率呈逐渐上升趋势,35岁及以上疾病检出率为51.53%,最小年龄段(20～24岁)异常率依然高达31.73%.在不同疾病检测中,前3位疾病为生殖系统疾病(9.85%)、TSH异常(5.69%)、肌酐异常(4.75%),疾病总检出率为34.71%.生殖系统疾病和TSH异常分别与其他疾病相比,差异有统计学意义(p0.05).结论:任何年龄段的备孕女性均应行孕前检查,重庆地区女性行孕前保健时应重视以上3种疾病的检查;加强宣教力度、提高孕前检查的参检率,健康问题早发现早诊治,能有效减少不良妊娠和出生缺陷的发生.

Analysis of 4 466 Cases of Women Receiving Free Pre-Pregnancy Examination in Yuzhong District of Chongqing

To provide the supporting evidences for the pre-pregnancy health care of childbearing-age women and also to investigate the health status of women who received free pregnancy examination in Yuzhong District of Chongqing, 4 466 examination results of child bearing-age women who participated in the state''s free pre-pregnancy health examination in our hospital from January 2013 to December 2016 were reviewed and statistically analyzed by chi-square test. The result shows that the incidence of disease detection is gradually increasing for women of all age groups, the detection rate of 35 years old and above is 51.53% and the abnormal rate of the minimum age group (20-24 years old) is still up to 31.73%. Among the different diseases detected, the top three diseases are reproductive system disease(9.85%), TSH abnormality(5.69%), creatinine abnormality(4.75%). The total detection rate is 34.71%. There are significant differences in reproductive system disease and TSH abnormality compared with other diseases(p<0.05). So based on our findings above, this paper advocates that women at any age within child bearing-age group should undergo pregnancy examination. The above three diseases should be paid attention to pre-pregnancy tests in Chongqing. And strengthening education improving the rate of pre-pregnancy examination, and early diagnosis and treatment of health problems can effectively reduce the occurrence of adverse pregnancy and birth defects.