论文部分内容阅读
目的了解四川省城市孕妇孕前预防出生缺陷的行为现状,对不同城市地区出生缺陷一级预防行为优良等级划分提供统计学方法参考,为进一步提高出生缺陷一级干预效果和降低出生缺陷率服务。方法本研究选取8个城市共1057名孕妇,对其基本情况和出生缺陷一级预防行为现状进行描述,利用TOPSIS和秩和比法(RSR法)对四川省多个地区的出生缺陷一级预防行为进行综合评价。结果本研究调查对象中婚检率45.32%,叶酸服用率和孕检率均超过80%。未婚检的最主要原因是认为自己健康;没有合理增补叶酸的最主要原因是不知道叶酸的好处;没有孕检的最主要原因是意外怀孕;将婚检率、叶酸服用率、孕检率、风险预防情况作为评价指标进行综合评价后,乐山、遂宁和眉山在城市地区表现较好。结论婚检需重视,婚检率还有待提高;孕检率和叶酸服用率较高,但孕前开始服用叶酸的人数较少,没有进行孕检的人群主要是意外怀孕人群;研究对象的风险意识较高,能有意识避免接触可能影响胎儿的危险因素;综合评价中乐山、遂宁和眉山地区预防出生缺陷行为表现较好,各地应有针对性的提高优生宣传教育,结合当地计生部门形成因地制宜的出生缺陷预防网络,使人们能广泛参与进去。
Objective To understand the status quo of pregnant women in Sichuan province before pregnancy to prevent birth defects and to provide a statistical reference for the grading of primary prevention of birth defects in different urban areas in order to further improve the primary intervention for birth defects and reduce the birth defect rate. Methods A total of 1057 pregnant women from 8 cities were selected to describe the basic situation and primary prevention of birth defects. TOPSIS and RSR were used to evaluate the primary prevention of birth defects in multiple areas of Sichuan Province Conduct a comprehensive evaluation. Results The rate of premarital examination in this study was 45.32%, folic acid intake and pregnancy rate were more than 80%. The main reason for premarital examination is that they think they are healthy. The most important reason for not having folic acid supplementation is that they do not know the benefits of folic acid. The most common reason for not having a pregnancy test is unwanted pregnancy. The rate of premarital examination, folic acid intake, pregnancy test, risk Prevention as a comprehensive evaluation of indicators after evaluation, Leshan, Suining and Meishan performed better in urban areas. Conclusions The premarital examination should pay attention to the rate of premarital examination. The rate of pregnancy tests and the rate of taking folic acid should be increased. However, the number of people who took folic acid before pregnancy was relatively small. The population without pregnancy test was mainly unintended pregnant women. , Can consciously avoid the risk factors that may affect the fetus; comprehensive evaluation of Leshan, Suining and Meishan area better performance of prevention of birth defects, all localities should be targeted to improve eugenics education, combined with the local family planning departments to prevent birth defects according to local conditions Network, so that people can be widely involved.