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目的:分析农村女性孕前健康状况及其影响因素,为有效实施孕前保健服务提供参考。方法:依托国家免费孕前优生健康检查项目,对2012年吉林省农安县参加该项目的女性的调查数据进行整理分析,应用统计软件SPSS 13.0进行统计分析。结果:7 921人参检,被评估为高风险人群1 902人,高风险率为24.01%。高风险人群中可能同时存在两种及以上的异常或风险暴露;体重指数是多种孕前风险暴露的影响因素,高血压是不良妊娠结局的影响因素,空腹血糖异常是自然流产的影响因素。结论:应积极加强孕前保健知识的宣传教育力度,提高群众知晓率和参与度;扩大优生项目的覆盖范围,提高优生项目服务质量。
OBJECTIVE: To analyze the pre-pregnancy health status of rural women and its influencing factors so as to provide reference for the effective implementation of pre-pregnancy health care services. Methods: Based on the national free pre-pregnancy eugenics health checkup project, the survey data of women participating in the project in Nong’an County, Jilin Province in 2012 were analyzed and analyzed. Statistical analysis was performed using statistical software SPSS 13.0. Results: A total of 7 921 participants were assessed as 1 902 people at high risk, with a high risk rate of 24.01%. There may be two or more abnormalities or risk exposures in high-risk groups at the same time. Body mass index is the influencing factor of multiple pre-pregnancy risk exposures. Hypertension is the influencing factor of adverse pregnancy outcomes. Fasting plasma glucose abnormality is the influencing factor of spontaneous abortion. Conclusion: Publicity and education of prenatal care knowledge should be actively strengthened to raise public awareness and participation; the coverage of prenatal and postnatal care programs should be expanded to improve the service quality of prenatal and postnatal care programs.