CAJ | 학술논문

目的：分析2010～2014年宾阳县婚前医学检查（婚检）情况及婚检对象的疾病发生情况，为防治新生儿出生缺陷提供依据。方法导出广西宾阳县2010～2014年的婚前保健情况年报表，应用SPSS软件进行统计分析。结果2010～2014年男方婚检率为84.3％～99.5％，女方婚检率为84.4％～99.6％，均呈逐年上升趋势（P＜0.05）；女方婚前妊娠率为28.3％～41.7％，呈逐年上升趋势（P＜0.05）；疾病检出率最高为生殖系统疾病，其次为内科系统疾病，男方生殖系统疾病、内科系统疾病检出率均呈逐年下降趋势（P＜0.05），而女方则均呈逐年上升趋势（P＜0.05）；重要传染病中阳性率最高为乙肝表面抗原，其次为地中海贫血（地贫），乙肝表面抗原男方阳性率为16.7％～19.3％，女方为10.6％～13.5％，均呈下降趋势（ P＜0.05）；男方地贫阳性率为18.9％～21.7％，未见上升或下降趋势，女方阳性率为18.2％～24.7％，呈上升趋势（ P＜0.05），男女双方均为阳性检出率为3.4％～6.9％，呈上升趋势（P＜0.05）。结论应加强开展婚检宣传及青少年性教育活动，进一步提高婚检率，降低婚前妊娠率及生殖系统疾病发生率，提高出生人口素质。
목적：분석2010～2014년빈양현혼전의학검사（혼검）정황급혼검대상적질병발생정황，위방치신생인출생결함제공의거。방법도출엄서빈양현2010～2014년적혼전보건정황년보표，응용SPSS연건진행통계분석。결과2010～2014년남방혼검솔위84.3％～99.5％，녀방혼검솔위84.4％～99.6％，균정축년상승추세（P＜0.05）；녀방혼전임신솔위28.3％～41.7％，정축년상승추세（P＜0.05）；질병검출솔최고위생식계통질병，기차위내과계통질병，남방생식계통질병、내과계통질병검출솔균정축년하강추세（P＜0.05），이녀방칙균정축년상승추세（P＜0.05）；중요전염병중양성솔최고위을간표면항원，기차위지중해빈혈（지빈），을간표면항원남방양성솔위16.7％～19.3％，녀방위10.6％～13.5％，균정하강추세（ P＜0.05）；남방지빈양성솔위18.9％～21.7％，미견상승혹하강추세，녀방양성솔위18.2％～24.7％，정상승추세（ P＜0.05），남녀쌍방균위양성검출솔위3.4％～6.9％，정상승추세（P＜0.05）。결론응가강개전혼검선전급청소년성교육활동，진일보제고혼검솔，강저혼전임신솔급생식계통질병발생솔，제고출생인구소질。
Objective To analyze the result of premarital examination in Binyang county from 2010 to 2014, and provide the basis for the prevention and treatment of birth defects.Methods The data of premarital examination from 2010 to 2014 were collected and analyzed by SPSS software.Results The rate of premarital examination was 84.3%~99.5%in male, and 84.4%~99.6%in female from 2010 to 2014, both of which were on the up trend. The premarital pregnancy rate was 28.3%~41.7%, which was on the up trend;The highest rate of detected disea-ses was the procreation system diseases, followed by the internal system diseases, both of which were in a downtrend in the husbands, but in an upward trend in wives;The highest rate of infectious diseases was hepatitis B, followed by thalassemia.The rate of hepatitis B was 16.7%~19.3%in the husbands, and 10.6%~13.5%in the wives, both of which were in a downward trend(P<0.05).The rate of thalassemia was 18.9%~21.7%in the husbands, show-ing neither rise nor decline trend, and 18.2%~24.7%in the wives, showing in an upward trend(P<0.05).The rate of thalassemia was 3.4%~6.9% both in the husbands and wives, showing in an upward trend ( P<0.05 ) . Conclusion In order to increase the rate of premarital examination, reduce the rate of premarital pregnancy and pro-creation system disease, improve the population quality, it is necessary to strengthen the premarital medical examina-tion propaganda and carry out adolescent sex education activity.