最佳生育年龄新婚育龄对象孕前优生健康检查的状况

摘要

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IgG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HBsAb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 optimal childbearing age in newly-married couples, to provide scientific basis to formulate practical health education intervention model, in order to better protect and promote healthiness rights of reproductive aged object.Methods To analyze the optimal childbearing age of newly-married couples who had joined the health examination in Jiedong County(District), Puning City, Rongcheng District from September 1, 2012 to August 31, 2014 according to the examination results.Results Through the inspection on health history, physical examination, interrelated blood examination, it had been showed that, the first six influencing factors on reproductive health status were abnormal leukorrhea routine examination(39.15%, 1413/3609), physical examination abnormally(37.59%,2713/7218), rubella virus IgG antibody negative(36.46%, 1316/3609), health history abnormally(29.72%,2145/7218), abnormal HBV-DNA (one positive at the fewest, except HBsAb, 25.06%,1809/7218), abnormal urine routine(19.83%,1431/7218).Conclusion Population quality could be authentically enhanced, through to strengthen the propaganda and education of pre-pregnancy eugenic health examination, to attach importance to reproductive health problems optimal childbearing age in newly-married couples.