拟行体外授精女性增补叶酸现状及相关因素分析  

Investigation and analysis on knowledge and use of folic acid among women who planned to take IVF

作　　者：董熙远[1] 杨学舟[1] 廖秀花[1] 周一帆[1] 章汉旺[1] 

机构地区：[1]华中科技大学附属同济医院生殖医学中心,湖北武汉430030

出　　处：《中国妇幼保健》2013年第26期4334-4336,共3页Maternal and Child Health Care of China

摘　　要：目的:研究拟行体外受精(IVF)的女性对叶酸的知晓和使用情况,探索影响叶酸增补的因素。方法:随机选取2012年3月-2012年8月在华中科技大学附属同济医院生殖医学中心拟行IVF的女性350例进行横断面研究。结果:拟行IVF女性中,69.5%知道围孕期应增补叶酸,49.0%知道叶酸的正确使用方法,25.6%正确使用了叶酸。学历较高、城市户籍女性增补叶酸情况较好。此外,职业、不孕类型、助孕史、流产史也可能是影响增补叶酸行为的重要因素。结论:增补叶酸可以有效预防胎儿神经管缺陷,但拟行IVF女性对叶酸及其正确使用方法的了解程度较低,实际使用情况更不理想,故应提高患者及医护人员的孕前保健意识,加强叶酸相关知识宣教。Objective： To assess the knowledge and supplements of folic acid （FA） intake in women who planned to take IVF and explore the effective factors behind patients＇decision -making on FA supplements. Methods： 350 women who planned to take IVF during A- pril 1 st 2012 and August 31th 2012 were randomly selected for investigation in this cross -sectional study. Results： Among the women ap- proached, 69. 5% were aware of the importance of FA and 49. 0% knew the correct method of the FA intake, only 25. 6% actually used FA properly. Women who took FA correctively were more likely to be higher education qualification, lived in urban areas. Job occupation, the type of infertility, the history of receiving assisted - reproductive technology therapy and/or the experiences of miscarriages might also be in- fluential factors on knowledge and use of FA. Conclusion： The daily intake of FA reduces the occurrence of Neural Tube Defects （NTDs） Nevertheless, the primary prevention of NTDs is at low level in women who planned to take IVF, general knowledge about FA supplements should be convoyed to these women.

关 键 词：叶酸 体外受精 神经管缺陷 

分 类 号：R715.3[医药卫生—妇产科学]