连云港市病残儿童资料分析及孕前优生干预其父母再生育效果研究

发布时间：2018-12-28 06:41

【摘要】：目的:分析连云港市病残儿童资料,通过孕前优生健康检查干预其近五年病残儿父母再生育,预防病残儿的发生风险。方法:对连云港市2008 2012年经过医学鉴定的病残儿的资料进行分析,比较其五年间数量、地区、性别分布、疾病顺位变化等,发放调查问卷了解其在生育病残儿之前的基本情况;再次怀孕后有无优生指导、超生排畸、唐筛、妊娠结局、分娩方式等调查,分析干预效果。结果:近五年通过医学鉴定符合病残儿童标准的1 046例五年间无明显变化;城区较农村多;男性较女性多;疾病顺位排序先天性心脏病位于第一位。通过干预,收回问卷中先天性心脏病父母再生育72例均为正常儿,其次脑瘫患儿父母再生育35例均为正常儿。结论:病残儿鉴定父母通过孕前优生健康检查,完成整个孕前保健、风险评估到个性化咨询指导一系列干预后再生育均为正常儿,干预效果明显,减少了不良妊娠结局的发生,对预防和降低再次生育病残儿的发生非常重要。
[Abstract]:Objective: to analyze the data of disabled children in Lianyungang city, and to prevent the risk of children with disability by pre-pregnancy health examination. Methods: the data of sick and disabled children from 2008 to 2012 in Lianyungang city were analyzed, and the number, region, sex distribution, disease sequence and so on in five years were compared, and the basic situation before giving birth to sick and disabled children was investigated by issuing questionnaires. To analyze the effect of intervention, there are guidance of eugenics, supergene drainage, Tang sieve, pregnancy outcome and delivery mode after re-pregnancy. Results: in the past five years, there were no significant changes in 1 046 cases that met the standard of sick and disabled children in recent five years. There were more cases in urban areas than in rural areas, more men than women, and the first place was congenital heart disease in order of disease ranking. Through intervention, 72 parents with congenital heart disease and 35 children with cerebral palsy were all normal children. Conclusion: the parents of the identification of sick and disabled children have completed the whole pre-pregnancy health care through pre-pregnancy health examination. The risk assessment and individualized counseling guide a series of intervention to have a normal baby. The intervention effect is obvious and the occurrence of adverse pregnancy outcome is reduced. It is very important to prevent and reduce the occurrence of sick and disabled children.
【作者单位】：连云港市计划生育指导所;连云港市人口和计划生育委员会;
【基金】：连云港市孕前优生健康检查与病残儿鉴定父母再生育干预效果研究(SH1231)
【分类号】：R179

【参考文献】