论文部分内容阅读
目的探讨联合健康教育法在贫困地区对出生缺陷的预防作用。方法通过2006～2009年承德县常住人口中已孕妇女16500人作为干预对象。其中采取优生知识干预教育的联宣组8250人,对照组8250人。(围产儿16230人,其中孕母参加健康教育的联宣组8115人,对照组8115人。)根据孕产妇管理手册及孕产妇系统管理网上报表和围产儿出生缺陷监测报表情况,进行综合分析,探讨在多部门采用联合健康教育法后,孕妇的孕期保健情况及围产儿出生缺陷发生情况。结果 (1)、孕13～27周联宣组孕妇发现出生缺陷20例,而对照组孕妇发现出生缺陷5例,均及时行治疗性引产,联宣组明显减少了出生缺陷儿的出生,两组比较,差异有统计学意义(χ2=9.014,P﹤0.01)。(2)、孕28周-42周联宣组发现出生缺陷34例,对照组发现出生缺陷97例。出生缺陷发生率:联宣组6.54‰,而对照组12.36‰,两组比较,差异有统计学意义(χ2=14.91,P﹤0.01)。结论联合健康教育法在贫困地区是减少出生缺陷行之有效的方法之一,它可提高广大育龄妇女的优生优育保健意识,从而促进就医行为的改变,对减少出生缺陷的发生具有积极的意义。
Objective To explore the preventive effect of combined health education on birth defects in poor areas. Methods Sixteen thousand pregnant women among the resident population of Chengde County from 2006 to 2009 were selected as the intervention target. Among them, 8250 people who took prenatal knowledge intervention education and 8250 people who were control subjects. (16,230 perinatal children, including 8,115 pregnant women participating in health education, 8,115 in the control group.) According to maternal management manuals and maternal system management online reports and perinatal birth defects monitoring reports, a comprehensive analysis, To explore the health status of pregnant women during pregnancy and the incidence of perinatal birth defects after adopting the joint health education law in many departments. Results (1) Pregnant women in Lianxuan group from 13 to 27 weeks of gestation found 20 cases of birth defects in pregnant women and 5 cases of birth defects in pregnant women in control group, all of whom were treated with induced abortion in time. Lian-xuan group significantly reduced the birth of children with birth defects. , The difference was statistically significant (χ2 = 9.014, P <0.01). (2), pregnant 28 weeks -42 weeks associated group found that 34 cases of birth defects, control group found 97 cases of birth defects. The incidence of birth defects: Lianxuan group 6.54 ‰, while the control group 12.36 ‰, the difference between the two groups was statistically significant (χ2 = 14.91, P <0.01). Conclusions Combined health education is one of the effective ways to reduce birth defects in poor areas. It can improve the awareness of eugenics and health care among women of childbearing age and promote the change of medical treatment, which is of positive significance to reduce birth defects.