CAJ | 학술논문

目的：分析围孕期保健对围产儿出生缺陷的影响。方法：选取西安市第四医院2013年10月1日～2013年12月25日收治1716例产妇为研究对象，对其临床资料进行回顾分析。结果：围孕期叶酸的补充可以显著降低神经管畸形的发生风险，差异有统计学意义（P＜0．05）；围孕期营养状况及孕妇的家庭收入等因素为减少出生缺陷发生的保护性因素，差异有统计学意义（P＜0．05）；出生缺陷的危险因素分别为孕妇接触职业危险因素、孕期患慢性病、孕期感冒、孕早期出血流产症状、孕期接触宠物、孕前或孕期房屋新装修、被动吸烟、孕期服药及孕期精神紧张或过度焦虑，差异有统计学意义（P＜0．05）。结论：通过加强围孕期保健，减少和控制孕期危险因素，可以预防和减少出生缺陷，提高人口出生质量。
목적：분석위잉기보건대위산인출생결함적영향。방법：선취서안시제사의원2013년10월1일～2013년12월25일수치1716례산부위연구대상，대기림상자료진행회고분석。결과：위잉기협산적보충가이현저강저신경관기형적발생풍험，차이유통계학의의（P＜0．05）；위잉기영양상황급잉부적가정수입등인소위감소출생결함발생적보호성인소，차이유통계학의의（P＜0．05）；출생결함적위험인소분별위잉부접촉직업위험인소、잉기환만성병、잉기감모、잉조기출혈유산증상、잉기접촉총물、잉전혹잉기방옥신장수、피동흡연、잉기복약급잉기정신긴장혹과도초필，차이유통계학의의（P＜0．05）。결론：통과가강위잉기보건，감소화공제잉기위험인소，가이예방화감소출생결함，제고인구출생질량。
Objective:To analyze the confining effect of health care during pregnancy on perinatal birth defects.Methods:Xi'an City Fourth Hospital from October 1, 2013 to December 25, 2013 a total of 1716 cases of pregnant women as the research object, this was a retrospective a-nalysis of the clinical data.Results:Periconceptional folic acid supplementation could significantly reduce the risk of neural tube malformation, the difference was statistically significant (P<0.05);perioperative nutritional status and maternal family income and other factors as the protec-tive factor for reducing the incidence of birth defects, there was statistically significant difference (P <0.05);risk factors of birth defects were pregnant women contact occupation risk factors during pregnancy, chronic disease, pregnancy, abortion of early pregnancy bleeding symptoms of colds, pet contacting during pregnancy, before or during pregnancy, passive smoking, the new housing decoration medication during pregnancy and maternal stress or excessive anxiety, the difference was statistically significant (P<0.05).Conclusion:By strengthening the antenatal care, reduce and control risk factors, could prevent and reduce the birth defects, improve the birth quality.