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目的通过“免费婚前保健+婚姻登记一站式服务”模式,提高人们自觉参加婚前保健的积极性,提高婚检率,同时及早发现影响婚育疾患并对患者进行婚育指导,降低出生缺陷发生率。方法采用“免费婚前保健+婚姻登记一站式服务”模式,对来宾市辖区内2008～2011年自愿参加婚前保健的新婚夫妇提供免费婚前保健服务,对婚检结果阳性者进行婚育指导。结果2008～2011年全市婚检率分别为46.36%(11 336/24 453);71.49%(18 158/25 404);92.79%(43 330/46 696)和94.85%(44 974/47 418)。婚检率由免费婚检前(2007年)的0.46%,上升到2011年的94.85%。而出生缺陷发生率由免费婚检前(2007年)的19.3‰,降到2011年的9.51‰。结论免费婚前保健+婚姻登记一站式服务,是提高婚检率的有效方法。
Objectives To improve the enthusiasm of people to participate in premarital health care and to increase the rate of premarital pregnancy through the model of “free pre-marital health care + registration of marriage registration”, and early detection of marriage and childbirth disorders and guidance on patient marriage and childbirth to reduce birth defects rate. Methods The free pre-marriage health care + one-stop service for marriage registration mode was adopted to provide free pre-marital health services to newly married couples who volunteered to pre-marital health care in Laibin area within 2008-2011 and to give guidance on marriage and childbirth to those who had positive premarital examination results. Results The rates of premarital examination in the city from 2008 to 2011 were 46.36% (11 336/24 453), 71.49% (18 158/25 404), 92.79% (43 330/46 696) and 94.85% (44 974/47 418) respectively. The rate of premarital examination rose from 0.46% before the premarital examination (2007) to 94.85% in 2011. The incidence of birth defects from pre-marital pre-examination (2007) 19.3 ‰, down to 9.51 ‰ in 2011. Conclusion Free pre-marital health + marriage registration one-stop service is an effective way to improve premarital rate.