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目的:探讨浙江实行优生“两免”政策在预防出生缺陷中的效果。方法:采取整群分层抽样进行回顾性统计分析以及文献资料分析等调查方法,对2009~2013年浙江实行优生“两免”政策以来该省的婚前保健状况及干预资源利用服务可及性研究。结果:婚前医学检查等一级预防出生缺陷技术的采纳率显著增高,分别从2008年的19.09%提高到2013年的93.43%;对影响出生缺陷的重大危险因素进行有效干预。结论:创新推广优生“两免”政策对降低出生缺陷发生风险具有较大的临床意义,实现以比较少的投入减少出生缺陷和先天残疾儿的发生和出生,减少对个人、家庭和国家带来的负担和损失。
Objective: To explore the effect of applying Eugenics “two immunity ” policies in Zhejiang in preventing birth defects. Methods: The cluster stratified sampling was used for retrospective statistical analysis as well as literature review and other survey methods. Since the policy of prenatal and postnatal care was implemented in Zhejiang from 2009 to 2013, the prenuptial health status and intervention resource utilization in Zhejiang Province were available Sexual research. Results: Adoption rates of primary prevention of birth defects such as premarital medical examination increased significantly from 19.09% in 2008 to 93.43% in 2013, and effective intervention was made for major risk factors that affected birth defects. Conclusion: The policy of promoting eugenics and “two exemptions” is of great clinical significance to reduce the risk of birth defects and to reduce the incidence and birth of birth defects and congenital disabilities with less investment, and to reduce the risk to individuals, families and countries Burden and loss.