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目的解析四川省2014年自然年度推行自愿免费婚检项目的效果,为推进免费婚检工作提供科学依据。方法分析四川省2014年全年婚前医学检查项目数据总量及构成,比较四川省不同地区婚检率及不同类型疾病检出情况。结果 2014年自然年度婚检率56.10%(城市28%,农村72%),最高市州93.89%,最低市州5.26%。婚检疾病总检出率9.37%,疾病检出率>20%的市州占1/3,最高检出率30.13%,最低检出率3.02%。生殖系统疾病检出率2.01%;传染性疾病检出率5.35%(检出比57.1%),其中,艾滋病、梅毒、乙肝筛查阳性占传染性疾病检出比的33.3%;遗传疾病检出率0.12%,其中,可疑地中海贫血检出率1.16‰,可疑精神疾病检出率0.07‰。结论四川省婚检率需进一步普及及提高,注意缩小地区差距,提高医疗技术水平,关注母婴传播疾病的预防及阳性病例的管理是关键。
Objective To analyze the effect of the voluntary free premarital project in Sichuan Province in 2014 and to provide a scientific basis for advancing the free premarital examination. Methods The data of 2014 premarital medical examination in Sichuan Province were analyzed. The incidence of premarital medical examination and the detection of different types of diseases in different areas of Sichuan Province were compared. Results In 2014, the rate of premarital examination in natural year was 56.10% (28% in urban areas and 72% in rural areas), 93.89% in the top cities and 5.26% in the lowest cities and prefectures. The prevalence rate of premarital examination was 9.37%, that of municipalities accounting for> 20% of diseases was highest, the highest detection rate was 30.13%, and the lowest detection rate was 3.02%. The detection rate of reproductive system diseases was 2.01%; the detection rate of infectious diseases was 5.35% (detection rate was 57.1%), of which the positive rate of AIDS, syphilis and hepatitis B screening accounted for 33.3% of the detection rate of infectious diseases; Rate of 0.12%, of which, suspicious thalassemia detection rate of 1.16 ‰, suspicious mental illness detection rate of 0.07 ‰. Conclusions The rate of premarital examination in Sichuan needs to be further popularized and increased. Attention should be paid to narrowing the regional disparities, raising the level of medical technology, and paying attention to the prevention of mother-to-child transmission and the management of positive cases.