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为了解婚前医学检查分类指导落实情况,对1988年4月~1993年12月经婚前医学检查为不宜婚配或婚后需采取避孕措施者进行随访调查。共调查不宜婚育者556对,其中结婚527对,婚后未采取避孕措施338对,占60.8%,分娩婴儿268例,其中有先天缺陷16例,出生缺陷率为59.7‰。结果表明本组婚前医学检查对象对医师提出的分类指导意见接受甚差,致使新生儿出生缺陷率比文献报道的6.72‰高8倍;影响了婚前医学检查的优生筛查作用。因此,要大力宣传婚前医学检查的意义,采取各种有效措施保障婚前医学检查分类指导意见的落实。
In order to understand the implementation of pre-marital medical examination classification guidance, from April 1988 to December 1993 by the pre-marital medical examination is not suitable for marriage or contraception should be taken after marriage follow-up survey. A total of 556 couples were investigated, of whom 527 were married, and 338 were not contraceptives after marriage, accounting for 60.8%. There were 268 birth babies, including 16 cases of birth defects and a birth defect rate of 59.7 ‰. The results show that this group of pre-marital medical examiners to accept the guidance of the classification of poor acceptance, resulting in neonatal birth defects rate reported in the literature than the 6.72 ‰ 8 times higher; affected prenuptial medical screening eugenics screening. Therefore, it is necessary to vigorously promote the significance of premarital medical examination and take all kinds of effective measures to ensure the implementation of the pre-marital medical examination classification guidance.