中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2014年
19期
24-27
,共4页
温小鲜%梁建文%陈凤仪%陶小君%陈莲芬%李建萍%王耀强%张伟强%赖剑锋%陈桂玲
溫小鮮%樑建文%陳鳳儀%陶小君%陳蓮芬%李建萍%王耀彊%張偉彊%賴劍鋒%陳桂玲
온소선%량건문%진봉의%도소군%진련분%리건평%왕요강%장위강%뢰검봉%진계령
孕前保健%出生缺陷%不良妊娠%新生儿
孕前保健%齣生缺陷%不良妊娠%新生兒
잉전보건%출생결함%불량임신%신생인
Preconception care%Birth defects%Adverse pregnancy%Newborn
目的：探讨孕前保健对广州市番禺区出生缺陷及其他不良妊娠结局的影响。方法选择1000个样本量进行研究，将进行孕前保健的500例设为观察组，未进行孕前保健的500例设为对照组，比较两组观察对象优生知识知晓率、叶酸服用情况、产前检查与治疗及不良妊娠结局等指标。结果观察组优生知识知晓率、叶酸服用率、慢性病的治疗覆盖率均明显优于对照组（P＜0.05）；观察组孕4周内妊娠确诊率、出生缺陷产前筛查覆盖率明显高于对照组，妊娠早期主要危险因素暴露水平明显低于对照组（P＜0.05）；观察组早产及过期妊娠率、新生儿窒息发病率、出生缺陷发生率均明显低于对照组（P＜0.05），产后出血量明显低于对照组，差异有统计学意义（P＜0.05）。结论孕前保健可减少出生缺陷，改善妊娠结局，应进一步推进孕前保健工作的顺利开展。
目的：探討孕前保健對廣州市番禺區齣生缺陷及其他不良妊娠結跼的影響。方法選擇1000箇樣本量進行研究，將進行孕前保健的500例設為觀察組，未進行孕前保健的500例設為對照組，比較兩組觀察對象優生知識知曉率、葉痠服用情況、產前檢查與治療及不良妊娠結跼等指標。結果觀察組優生知識知曉率、葉痠服用率、慢性病的治療覆蓋率均明顯優于對照組（P＜0.05）；觀察組孕4週內妊娠確診率、齣生缺陷產前篩查覆蓋率明顯高于對照組，妊娠早期主要危險因素暴露水平明顯低于對照組（P＜0.05）；觀察組早產及過期妊娠率、新生兒窒息髮病率、齣生缺陷髮生率均明顯低于對照組（P＜0.05），產後齣血量明顯低于對照組，差異有統計學意義（P＜0.05）。結論孕前保健可減少齣生缺陷，改善妊娠結跼，應進一步推進孕前保健工作的順利開展。
목적：탐토잉전보건대엄주시번우구출생결함급기타불량임신결국적영향。방법선택1000개양본량진행연구，장진행잉전보건적500례설위관찰조，미진행잉전보건적500례설위대조조，비교량조관찰대상우생지식지효솔、협산복용정황、산전검사여치료급불량임신결국등지표。결과관찰조우생지식지효솔、협산복용솔、만성병적치료복개솔균명현우우대조조（P＜0.05）；관찰조잉4주내임신학진솔、출생결함산전사사복개솔명현고우대조조，임신조기주요위험인소폭로수평명현저우대조조（P＜0.05）；관찰조조산급과기임신솔、신생인질식발병솔、출생결함발생솔균명현저우대조조（P＜0.05），산후출혈량명현저우대조조，차이유통계학의의（P＜0.05）。결론잉전보건가감소출생결함，개선임신결국，응진일보추진잉전보건공작적순리개전。
Objective To explore the effect of preconception care on birth defect and other adverse pregnancy outcomes in Fanyu District. Methods Select 1000 sample size for research, 500 people who used of preconception care as the observation group, and 500 people without preconception care as the control group. Eugenic knowledge and awareness, taking the case of folic acid, prenatal care and treatment, adverse pregnancy outcomes of two groups were compared. Results Aware of knowledge about eugenics, the rate of taking folic acid and the treatment of chronic diseases coverage of observation group were significantly higher than the control group(P < 0.05); At 4 weeks pregnancy diagnosis rate and birth defects in prenatal screening coverage were significantly higher than the control group(P < 0.05), and the main risk factor for early pregnancy exposure levels was significantly lower than the observation group(P < 0.05); Preterm birth and Expired pregnancy rates, the incidence of neonatal asphyxia, and the incidence of birth defects were significantly lower than the control group(P < 0.05), and the amount of postpartum bleeding was significantly lower than the control group(P<0.05), the difference is statistically significant. Conclusion Preconception care can reduce birth defects, and improve the pregnancy outcome, we should further promote the smooth development of preconception care work.
