孕前优生遗传咨询与检查的临床意义
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摘要
目的探析备孕夫妇进行孕前优生遗传咨询与检查的价值及意义。方法选取我院于2016年1月—2018年12月来院接受孕前咨询的900对备孕夫妇,对其孕前优生咨询与检查的临床意义进行深入的研究探讨。结果 900对遗传中心检查夫妇中共有816对夫妇接受了孕前优生遗传检查,总检查率为90.7%;2018年我院优生遗传中心的优生遗传咨询夫妇有326对,共有318对接受检查,检查率为97.5%;2017年优生遗传中心的优生咨询夫妇有310对,共有276对接受检查,检查率为89.0%;2016年优生遗传中心的优生咨询夫妇有264对,共有222对接受检查,检查率为84.1%,其中2018年检查率显著高于2017年和2016年,差异有统计学意义(P <0.05);816对夫妇接受检查后成功受孕,其中检出87例为高危产妇,占比10.7%;之后对这87例高危产妇进行四维彩超筛查出2例胎儿为先天性缺陷儿,占比2.29%。结论优生咨询与检查是作为孕前保健一项不可避免的重要措施,它可有效降低缺陷儿的出生率,提高产妇的生殖健康水平与人口素质。
Objective To explore the value and significance of genetic counseling and examination for pregnant couples. Methods 900 pregnant couples who received pre-pregnancy counseling and examination in our hospital from January 2016 to December 2018 were selected, and the clinical significance of pre-pregnancy counseling and examination was studied. Results 900 couples were examined by the genetic center, 816 couples were examined by genetic center before pregnancy, the total examination rate was 90.7%. In 2018, there were 326 eugenic genetic counseling couples at eugenic genetic center in our hospital, a total of 318 couples were examined, and the examination rate was 97.5%. In 2017, there were 310 eugenic counseling couples at the eugenic genetic center, 276 of whom were examined, the examination rate of 89.0%;In 2016, There were 264 eugenic counseling couples in the eugenic genetic center, and 222 couples were examined, the examination rate was 84.1%, the examination rate in 2018 was significantly higher than 2017 and 2016,the difference was statistically significant(P < 0.05). 816 couples successfully conceived after being examined, Among them, 87 cases were found to be high risk women, accounting for 10.7%,the 87 high-risk women were screened by four-dimensional color Doppler Ultrasonography, found that 2 fetuses were congenital defects children, accounting for 2.29%. Conclusion Eugenic counseling and examination is an inevitable and important measure of pre-pregnancy health care, which can effectively reduce the birth rate of defective children and improve the reproductive health level and population quality of the parturient.
Objective To explore the value and significance of genetic counseling and examination for pregnant couples. Methods 900 pregnant couples who received pre-pregnancy counseling and examination in our hospital from January 2016 to December 2018 were selected, and the clinical significance of pre-pregnancy counseling and examination was studied. Results 900 couples were examined by the genetic center, 816 couples were examined by genetic center before pregnancy, the total examination rate was 90.7%. In 2018, there were 326 eugenic genetic counseling couples at eugenic genetic center in our hospital, a total of 318 couples were examined, and the examination rate was 97.5%. In 2017, there were 310 eugenic counseling couples at the eugenic genetic center, 276 of whom were examined, the examination rate of 89.0%;In 2016, There were 264 eugenic counseling couples in the eugenic genetic center, and 222 couples were examined, the examination rate was 84.1%, the examination rate in 2018 was significantly higher than 2017 and 2016,the difference was statistically significant(P < 0.05). 816 couples successfully conceived after being examined, Among them, 87 cases were found to be high risk women, accounting for 10.7%,the 87 high-risk women were screened by four-dimensional color Doppler Ultrasonography, found that 2 fetuses were congenital defects children, accounting for 2.29%. Conclusion Eugenic counseling and examination is an inevitable and important measure of pre-pregnancy health care, which can effectively reduce the birth rate of defective children and improve the reproductive health level and population quality of the parturient.
引文
[1]张伟强,陈莲芬,赖剑锋,等.番禺区24184例孕前优生健康检查情况及效果分析[J].中国现代药物应用,2017,11(10):190-192.
[2]卢欢欢,黄蕾,蒋强华.孕前健康检查对预防出生缺陷和不良妊娠结局的影响研究[J].医院管理论坛,2018,35(11):78-80,49.
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[5]卢晓燕,张薏.孕前优生健康检查及婚前检查女性梅毒感染情况调查分析及对女性预后性生活质量的影响[J].中国性科学,2018,27(11):122-125.
[6]许美仙,周燕梅,杨坤芬,等.孕前优生健康干预对6698对计划妊娠夫妇生活行为的影响[J].中国妇幼保健,2018,33(19):4375-4377.
[7]伍嘉雯.孕前优生健康检查联合孕期规范化干预对高龄产妇心理状态及妊娠结局的影响[J].实用中西医结合临床,2018,18(5):166-168.
[8]刘惠玲,廖冬梅.孕前进行优生遗传咨询与检查155例的回顾性研究及临床意义探究[J].中国优生与遗传杂志,2018,26(3):70-72.
[9]王宇霞.加强基层计生宣传培训提高孕前优生健康检查的覆盖率[J].世界最新医学信息文摘,2018,18(93):206.
[10]袁彦玲,叶汉风,李宝鑫,等.孕前优生健康检查风险评估质量核查的定性研究[J].现代预防医学,2017,44(8):1413-1416.
[11]孙芳.孕前优生健康检查中护理健康教育的作用[J].中国卫生产业,2017,14(7):50-51.
[12]孟晓楠.孕中期产前筛查和遗传咨询及心理干预对优生的作用探讨[J].世界最新医学信息文摘,2016,16(84):356.
[2]卢欢欢,黄蕾,蒋强华.孕前健康检查对预防出生缺陷和不良妊娠结局的影响研究[J].医院管理论坛,2018,35(11):78-80,49.
[3]刘艳梅.免费孕前优生健康检查对优生优育的重要性及健康指导分析[J].智慧健康,2018,4(30):26-27.
[4]王晓霜,刘大纯.大样本孕前保健检查在优生遗传咨询中的应用价值研究[J].中国妇幼保健,2018,33(19):4457-4459.
[5]卢晓燕,张薏.孕前优生健康检查及婚前检查女性梅毒感染情况调查分析及对女性预后性生活质量的影响[J].中国性科学,2018,27(11):122-125.
[6]许美仙,周燕梅,杨坤芬,等.孕前优生健康干预对6698对计划妊娠夫妇生活行为的影响[J].中国妇幼保健,2018,33(19):4375-4377.
[7]伍嘉雯.孕前优生健康检查联合孕期规范化干预对高龄产妇心理状态及妊娠结局的影响[J].实用中西医结合临床,2018,18(5):166-168.
[8]刘惠玲,廖冬梅.孕前进行优生遗传咨询与检查155例的回顾性研究及临床意义探究[J].中国优生与遗传杂志,2018,26(3):70-72.
[9]王宇霞.加强基层计生宣传培训提高孕前优生健康检查的覆盖率[J].世界最新医学信息文摘,2018,18(93):206.
[10]袁彦玲,叶汉风,李宝鑫,等.孕前优生健康检查风险评估质量核查的定性研究[J].现代预防医学,2017,44(8):1413-1416.
[11]孙芳.孕前优生健康检查中护理健康教育的作用[J].中国卫生产业,2017,14(7):50-51.
[12]孟晓楠.孕中期产前筛查和遗传咨询及心理干预对优生的作用探讨[J].世界最新医学信息文摘,2016,16(84):356.