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目的对孕前保健工作开展十五年来学术研究文献进行归纳整理分析,探索孕前保健研究方面文献现状,对其服务和经济效果进行评价预测,发现问题,提出发展方向。方法文献归纳分析法。结果孕前保健研究在我国呈阶段性增长,研究水平逐步提高,呈现不同阶段特征和作用。医疗机构成为孕前保健研究的重要生力军,计生科研机构和高校担负着主要实质研究的推动者作用。开始形成研究领域核心期刊群,逐步培育出核心作者,研究上东部与中西部发展不平衡。结论我国孕前保健工作虽已起步,处在转型发展的初级阶段,孕前保健的研究质量水平还不高,表现为科普类、调研类、经验类的多,应用实用型、基础理论型、创新前瞻型的少。对出生缺陷预防理论,以及具有地区特点的出生缺陷主要病因和发生机理研究不足;创新探讨适用于我国国情的孕前保健风险评估工具和方法研究不够;在整合各方资源,创新建立平台和体系,形成中国特色模式探索上不够;在突出重点,明确难点的研究上把握不够;将现代网络科技运用于孕前保健,实现服务利用可及可得的研究不够。
OBJECTIVE To summarize and analyze the literatures about academic research during the fifteen years of pre-pregnancy health care work, explore the status quo of literature on prenatal care research, evaluate and forecast the service and economic effects, find out the problems and propose the development directions. Method literature inductive analysis. Results Pre-pregnancy health research in China showed a phased growth, research gradually increased, showing different stages of the characteristics and role. Medical institutions have become an important force in the study of prenatal care. Family planning research institutes and universities are the promoters of major substantive research. Began to form the core journals in the field of research, and gradually cultivate the core authors to study the development of the eastern and central and western imbalances. Conclusion Although the pre-pregnancy health care work has started, and is in the initial stage of transformation and development, the quality of pre-pregnancy health care research is still not high. The performance of science, research and experience are more and more. Practical, basic and innovative Less type. The theory of prevention of birth defects, as well as the main causes and mechanism of birth defects with regional characteristics are not enough; the research on pre-pregnancy risk assessment tools and methods for prenumbral pregnancy that apply to China’s national conditions is not enough; the integration of resources of all parties, innovation of platform and system, There is not enough to explore the mode of Chinese characteristics; not enough attention is paid to the study of stressing the key points and the clear and difficult points; and the application of modern network technology to pre-pregnancy health care is not enough to realize the service utilization.