CAJ | 학술논문

目的探讨富阳市2003～2012年间婚前医学检查(以下简称婚检)与围产保健质量的相关性。方法对自愿婚检后未采取干预措施的2003～2007年与采取干预措施后2008～2012年的婚检及围产保健状况进行对比性分析。结果自愿婚检后，未采取干预措施的2003～2007年婚检率急剧下降，各种疾病的检出率明显下降；一般与重症高危孕产妇检出率明显增加，产前筛查阳性率与确诊率明显下降；产科产时与产后抢救率明显增加；围产儿出生缺陷与死亡率显著上升，新生儿疾病筛查与听力筛查率显著下降，经统计学分析有显著性差异(P＜0.001)。结论重视婚检率，加强婚前保健、孕前检查、孕期保健、产时分娩、新生儿各项筛查，是提高围产保健质量的有效保障。
목적탐토부양시2003～2012년간혼전의학검사(이하간칭혼검)여위산보건질량적상관성。방법대자원혼검후미채취간예조시적2003～2007년여채취간예조시후2008～2012년적혼검급위산보건상황진행대비성분석。결과자원혼검후，미채취간예조시적2003～2007년혼검솔급극하강，각충질병적검출솔명현하강；일반여중증고위잉산부검출솔명현증가，산전사사양성솔여학진솔명현하강；산과산시여산후창구솔명현증가；위산인출생결함여사망솔현저상승，신생인질병사사여은력사사솔현저하강，경통계학분석유현저성차이(P＜0.001)。결론중시혼검솔，가강혼전보건、잉전검사、잉기보건、산시분면、신생인각항사사，시제고위산보건질량적유효보장。
Objective Study the correlation of premarital medical examination and perinatal health care quality in Fuyang from 2003 to 2012. Methods Conduct comparative analysis on voluntary premarital medical examination without intervention from 2003 to 2007 and premarital medical examination with intervention afterward from 2008 to 2012 years as well as perinatal health care condition. Results After voluntary premarital medical examination, premarital medical examination rate without intervention fell sharply from 2003 to 2007 along with remarkable decrease of detection rate of various diseases. The detection rate of general and high risks of pregnant women obviously increased. Positive rate and diagnosis rate of prenatal screening significantly decreased. Intrapartum and postpartum rescue rate in obstetrical department increased significantly. Perinatal birth defect rate and mortality rate increased significantly. Neonatal screening and hearing screening rate dropped significantly. All of these have significant difference after statistics analysis (P<0.001). Conclusion Effective measures that could improve perinatal health care quality include paying more attention to premarital medical examination and enhancing premarital health care, pre-pregnancy physical examination, perinatal health care and neonatal screening.