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作 者:黄丽娟[1] 翟巾帼[1] 陈敏[1] 陈敦金[1] 赖峥菲[1]
机构地区:[1]广州医科大学附属第三医院,广东广州510150
出 处:《现代医院》2014年第6期37-39,共3页Modern Hospitals
基 金:广东省科学技术厅基金资助(编号:粤科规划字2013137号)
摘 要:目的根据产科医务人员对产前诊断的不同方法的理论了解及临床应用经验,对非侵入性产前诊断的临床适用价值进行初步评估。方法使用由50个实际应用性问题并10个情绪稳定性问题构成的问卷,调查产科医务人员对于不同产前诊断方法,特别是非侵入性方法(NIPD)的应用倾向。结果 91%的医务人员认为非侵入性诊断方法可代替部分侵入性产前诊断(IPD),目前大部分医务人员更倾向于选择非侵入性方法诊断早孕期或中孕期筛查异常的病人。17.8%的人确信非侵入性诊断应该作为唐氏综合征的首选确诊方法。结论只有非侵入性产前诊断方法的准确性及可诊断疾病范围逐渐扩大,临床医务人员才会对其广泛应用。Objective Based on the theoretical knowledge and clinical utilization experience of staff in Obstetrics Departent, value the application of non - invasive prenatal diagnosis (NIPD). Methods A questionnaire consisted of 37 questions in application and 10 questions in emotion evaluation is introduced to survey the utilization apt of medical staff on various prenatal diagnosis methods, particularly on NIPD. Results 91% of the staff in Obstetrics aknowledge a limited quantity of IPD can be substituted by NIPD. At present the majority of the staff prefer NIPD as the first choice for patients with abnormal screening results in their 1st and 2nd trimesters. 17.8% of the staff deem NIPD the definite diagnosis method for Down's Syndrome. Conclusion The extensive utilization by Clinical staff would only be applied on the high accuracy and large disease spectrum of NIPD with a rational plan of medical insurance system.
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