2014年四川省自愿免费婚检项目的效果评价  

Review on free premarital medical examination result of 2014

作　　者：张琚[1] 谭玲 邓萱 明娟[1] 袁先英[1] 吴方银[1] 

机构地区：[1]四川省妇幼保健院保健部,四川成都610045 [2]四川省卫生计生委规划财务与信息处,四川成都610041

出　　处：《中国计划生育和妇产科》2015年第12期66-68,78,共4页Chinese Journal of Family Planning & Gynecotokology

摘　　要：目的解析四川省2014年自然年度推行自愿免费婚检项目的效果,为推进免费婚检工作提供科学依据。方法分析四川省2014年全年婚前医学检查项目数据总量及构成,比较四川省不同地区婚检率及不同类型疾病检出情况。结果 2014年自然年度婚检率56.10%(城市28%,农村72%),最高市州93.89%,最低市州5.26%。婚检疾病总检出率9.37%,疾病检出率>20%的市州占1/3,最高检出率30.13%,最低检出率3.02%。生殖系统疾病检出率2.01%;传染性疾病检出率5.35%(检出比57.1%),其中,艾滋病、梅毒、乙肝筛查阳性占传染性疾病检出比的33.3%;遗传疾病检出率0.12%,其中,可疑地中海贫血检出率1.16‰,可疑精神疾病检出率0.07‰。结论四川省婚检率需进一步普及及提高,注意缩小地区差距,提高医疗技术水平,关注母婴传播疾病的预防及阳性病例的管理是关键。Objective To analyze and explain the effectiveness of free voluntary premarital examination project in calendar 2014 in Sichuan province,in order to find the scientific method of improving premarital examination work. Methods Analyze the total amount and proportions of annual premarital medical examination project in 2014 and compare premarital examination rate and different types of disease detection in different areas of Sichuan province. Results In calendar 2014,the annual premarital examination rate accounts for 56. 10 %（ urban 28 %,rural 72 %）,the highest city accounting for 93. 89 %,the lowest accounting for 5. 26 %. The total disease detected rate accounts for 9. 37 %,the cities where disease detected rate is larger than 20 % accounting for 1 /3,the highest detected rate accounting for 30. 13 %,the lowest detected rate accounting for 3. 02 %. The reproductive system disease detection rate accounts for 2. 01 % and the ＂ infectious diseases＂ detection rate accounts for 5. 35 %.（ Detected accounts for more than57. 1 % among them）,including AIDS,syphilis and hepatitis B screening positive for infectious disease detection rate of 33. 3 %.Hereditary disease rate accounts for 0. 12 %,among them,the ＂ suspicious Mediterranean anemia detection＂ detected rate accounting for 1. 16 ‰ and ＂ suspicious mental illness＂ detected rate accounting for 0. 07 ‰. Conclusion Premarital health care rate needs to further improvement. Key of this work is to reduce regional differences,improve the level of medical technology and focus on prevention and management of mother- to- child transmission of disease.

关 键 词：免费婚前医学检查 效果评价 婚检率 疾病检出率 

分 类 号：R169.1[医药卫生—公共卫生与预防医学]