王君,孕前优生实验室检查1408(带英文).docVIP

5496例孕前优生实验室检查结果分析 王君1 秦金环2 蔺芳芳1 刘翠杰1 李海东1 成红宇1 1. 河南省焦作市博爱县计划生育服务站, 河南 焦作 博爱 454450 2.博爱县金城乡计划生育服务中心 河南 焦作 博爱 454481 摘要 目的 通过对博爱县计划怀孕的夫妇孕前优生实验室检查结果分析，探讨孕前高风险因素，为实现优生指导和临床治疗提供基础数据和科学依据。方法 对2012年1月～2014年4月来我站进行孕前优生检查的5496例育龄夫妇，按实验室检测各个项目的要求进行规范化检测。结果 乙肝五项表面抗原阳性189例，空腹血糖异常25例。促甲状腺激素异常206例，其中升高183例，降低23例。弓形虫IgM阳性20例。巨细胞病毒IgM阳性27例。 风疹病毒IgM阳性39例。风疹病毒IgG阴性417例。梅毒螺旋体感染11例。淋病5例。阴道分泌物的检查异常200例，其中滴虫感染18例,白色念珠菌感染122例 ，细菌感染60例。血型检查中RH阴性11例。血常规检查中度贫血14例。结论 孕前优生实验室检查项目十分重要，计划怀孕夫妇孕前实验室检查项目风险因素存在较多，应高度关注，应根据相关检查结果对不同情况进行分类指导，采取相应防治措施，对筛查出的阳性人群应进行正规治疗或转诊，以有效改善出生人口素质，降低缺陷儿的出生率及其它不良妊娠结局。 关键词 孕前优生 实验室检查 分析 中图分类号 文献标识码 Analysis of pre-pregnancy eugenic 5496 cases of laboratory test results WANG jun1,QIN Jin-huan2, LIN fang-fang1,LIU cui-jie1,LI hai-dong1, , CHENG hong-yu1 1.Family Planning Service Center of BoAi County, Henan,454450, China;2. Boai Jincheng township Family Planning Service Center, Boai county,Jiaozhuo,Henan,454481,China. Corresponding authuor CHENG Hong-yu,E-mail:chyus2008@163.com. 【Abstract】 Purpose Based on the BoAi County couple planning a pregnancy laboratory test results were analyzed to explore the high-risk factors before pregnancy to provide basic data and scientific basis for eugenics guidance and clinical treatment. Methods in January 2012~ April 2014, 5,496 cases of couples of reproductive age in the family planning service station completed laboratory tests, according to the requirements of each project to standardize testing. Results In 5496 cases of couples of reproductive age, the hepatitis B surface antigen-positive are 189 cases; abnormal fasting glucose is 25 cases; 206 cases of abnormal thyroid-stimulating hormone, which rises 183 cases, 23 cases of lower; Toxoplasma IgM positive 20 cases; cytomegalovirus IgM-positive 27 cases; 39 cases of rubella virus IgM positive, negative 417 cases of rubella virus IgG; 11 cases of syphilis; gonorrhea five cases. Abnormal vaginal secretions of 200 cases, including 18 cases of trichomonas