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目的:了解该地区免费婚前医学检查(婚检)政策实施后婚龄青年HBsAg、TRUST、HIV的感染情况及肝功能ALT指标,为妇幼保健工作提供理论上的参考,同时使全社会对婚检的重要意义及必要性有更进一步的认识。方法:将2009年6月～2010年4月的婚检四项结果资料进行整理、汇总和分析。结果:在受检的5 045例婚检对象中(男2 506例、女2 539例),共检出阳性(异常)结果901例,检出率为17.86%,在阳性(异常)结果分类中以ALT≥45 U检出率最高占53.50%,其次是HBsAg阳性占42.51%,TRUST阳性占4.00%,HIV未检出。结论:该地区婚检青年肝功能异常结果检出率很高,对肝脏的保护应该更加重视,乙肝病毒、梅毒螺旋体感染是威胁优生优育的重要因素,HIV虽然没有检出阳性结果,但在HIV国内及周边地区检出率增加趋势的背景下,加强HIV监测显得尤其重要。
Objective: To understand the infection status of HBsAg, TRUST, HIV and ALT index of liver function among young people of marriage age after the implementation of the free pre-marital medical examination (premarital) policy in the region, to provide a theoretical reference for maternal and child health care work and to make the whole society important for premarital examination And the need to have a better understanding. Methods: The data of the four results of premarital examination from June 2009 to April 2010 were collated, summarized and analyzed. Results: Of the 5 045 premarital subjects (2 506 males and 2 539 females) examined, 901 positive (abnormal) results were detected, the detection rate was 17.86%. In the classification of positive (abnormal) results The highest detection rate of ALT≥ 45 U was 53.50%, followed by HBsAg positive accounted for 42.51%, TRUST positive accounted for 4.00%, HIV was not detected. Conclusion: The prevalence of abnormal liver function in premarital youth is high and the protection of the liver should be paid more attention. Hepatitis B virus and Treponema pallidum infection are important factors that threaten prenatal and postnatal care. Although HIV did not detect positive results, And the increasing trend of the detection rate in the surrounding areas, it is particularly important to strengthen HIV monitoring.