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做好孕前健康管理,预防出生缺陷OA

Strengthening preconception health management for the prevention of birth defects

中文摘要英文摘要

出生缺陷是影响我国人口素质和儿童健康的重大公共卫生问题,其防治关口前移至孕前阶段是践行"健康中国2030"和全生命周期健康理念的核心策略,是预防出生缺陷最经济、最有效的手段.孕前健康管理并非简单的孕前检查,而是一个涵盖健康促进、风险评估、分层干预和多学科协作的系统性工程,是成本效益最高的一级预防措施.文章结合国家孕前保健特色专科建设要求与笔者所在医院的实践经验,系统阐述了涵盖全面评估、风险分层、精准干预的孕前健康管理框架,详述了其核心内容与实践要点,并针对当前面临的挑战提出对策,展望了从群体预防走向个体化预防、构建全程化数字化健康管理闭环的未来方向.

Birth defects represent a major public health concern affecting population quality and child health in China.Shifting the focus of prevention to the preconception period is a core strategy aligned with the"Healthy China 2030"initiative and the life-cycle health concept,and is also the most cost-effective and efficient measure for preventing birth defects.Preconception health management is not merely a preconception check-up but a systematic process encompassing health promotion,risk assessment,stratified intervention,and multi-disciplinary collaboration,serving as the most cost-effective primary prevention measure.Drawing upon the national policy requirements for constructing specialized preconception care units and the clinical practical experience of our hospital,this article elaborates on a systematic preconception health management framework involving comprehensive assessment,risk stratification,and precise intervention.It describes the core components and practical points in detail,and discusses current challenges and proposes countermeasures,envisioning a future shift from population-based prevention to individualized prevention and the establishment of a continuous,digitalized health management loop.

贾楠;顾蔚蓉

复旦大学附属妇产科医院,上海 200011复旦大学附属妇产科医院,上海 200011

医药卫生

孕前保健出生缺陷一级预防健康管理风险评估多学科协作

preconception carebirth defectsprimary preventionhealth managementrisk assessmentmulti-disciplinary team(MDT)

《中国实用妇科与产科杂志》 2026 (2)

138-142,5

National Key Research and Develop-ment Program(2022YFC2703403)National Natural Sci-ence Foundation of China(82201313) 国家重点研发计划(2022YFC2703403)国家自然科学基金(82201313)

10.19538/j.fk2026020103

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