基于国家免费孕前优生健康检查的中医健康管理模式对预防新生儿出生缺陷的临床价值分析

摘要

Objective:To study the clinical value of the free pregnancy eugenics health examination based on the national health management model of TCM on preventing birth defects.Methods:From January 2013 to June 2016,2,989 couples accepting TCM health management based on free pregnancy eugenics health inspection and 2,992 couples accepting only countries free pregnancy physical examination in our hospital were defined as an experimental group and a control group,respectively.Detected disease,sub-health and birth defects of both groups were recorded and compared.Results:The disease detection rate of both groups showed no statistical difference (P＞0.05).The diseases with highest detection rate were infectious diseases,and the detection rates were 18.27％ and 17.98％ in the experimental group and the control group respectively,followed by mammary gland disease (11.17％ and 10.98％),and gynecological disease (9.60％ and 9.99％).Sub-healthy population accounts for 60.98％ and 58.98％ total population in the experimental group and the control group respectively,and the differences between groups were not statistically significant (P＞0.05).After intervention by TCM health management system,the sub-healthy population reduced by 27.89％ in the experimental group,significant different from the control group (P＜0.05).The incidence of birth defects in the experimental group was significantly lower than that in the control group (P＜0.05).Conclusion:TCM health management based on the national free pregnancy eugenics health inspection has positive effect to improve couples' health and reduce birth defects.%目的:探讨基于国家免费孕前优生健康检查的中医健康管理模式对预防新生儿出生缺陷的临床价值.方法:选取2013年1月至2016年6月自愿接受基于国家免费孕前优生健康检查的中医健康管理模式的2 989对夫妇作为观察组,和仅接受国家免费孕前优生健康检查的2 992对夫妇分别作为观察组和对照组,记录观察组及对照组疾病检出情况、亚健康情况,并比较两组新生儿出生缺陷情况.结果:观察组及对照组疾病检出率差异无统计学意义(P＞0.05),其中传染病检出率最高,分别为18.27％和17.98％,其次为乳腺疾病,分别为11.17％和10.98％,再次为妇科疾病,分别9.60％和9.99％.两组亚健康人群分别占60.98％和58.98％,差异无统计学意义(P＞0.05),观察组在经过中医健康管理模式干预后,亚健康人群下降了27.89％,与对照组比较,差异有统计学意义(P＜0.05).观察组新生儿出生缺陷发生率明显低于对照组,差异具有统计学意义(P＜0.05).结论:基于国家免费孕前优生健康检查的中医健康管理模式对提升夫妇健康和降低新生儿出生缺陷具有积极作用.