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唐氏综合征筛查在妇产科就诊孕妇中的应用。

Down Syndrome Screening among Pregnant Women Visiting the Department of Obstetrics and Gynaecology of a Tertiary Care Centre.

机构信息

Department of Obstetrics and Gynecology, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2023 Oct 1;61(266):807-810. doi: 10.31729/jnma.8293.

Abstract

INTRODUCTION

The screening of Down's syndrome by the measurement of serum markers using dual and quadruple tests in the second trimester is done among obstetric patients between 13 to 22 weeks of gestation. The test readings are signified in terms of low-risk or high-risk. The aim of this study was to find out the prevalence of Downs syndrome screening among pregnant women visiting the Department of Obstetrics and Gynaecology of a tertiary care centre.

METHODS

A descriptive cross-sectional study was conducted from 15 April 2022 to 15 December 2022 among patients visiting the Department of Obstetrics and Gynecology of a tertiary care centre. Ethical approval was taken from the Institutional Review Committee. Women with a singleton pregnancy who underwent dual and quadruple screening tests at 11 to 22 weeks of gestation were taken and analysed as per reports. Convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.

RESULTS

Among 268 women, Down syndrome screening was done in 200 (74.63%) (69.42-79.84, 95% Confidence Interval). Among them, 168 (84%) had a low risk for Down syndrome, and 32 (16%) had a high risk for Down syndrome.

CONCLUSIONS

The prevalence of Downs syndrome screening among pregnant women visiting the Department of Obstetrics and Gynecology of a tertiary care centre was found to be similar to other studies done in similar settings.

KEYWORDS

down syndrome; nuchal translucency; screening.

摘要

简介

唐氏综合征的筛查是通过在妊娠 13 至 22 周期间对二联和四联检测进行血清标志物测量,在产科患者中进行的。测试读数表示为低风险或高风险。本研究的目的是了解在一家三级保健中心妇产科就诊的孕妇中唐氏综合征筛查的流行情况。

方法

2022 年 4 月 15 日至 2022 年 12 月 15 日,在一家三级保健中心妇产科就诊的患者中进行了一项描述性横断面研究。本研究获得了机构审查委员会的伦理批准。对在妊娠 11 至 22 周期间接受二联和四联筛查试验的单胎妊娠妇女进行了检查和分析,并按照报告进行了分析。使用方便抽样法。点估计值在 95%置信区间内计算。

结果

在 268 名妇女中,有 200 名(74.63%)(69.42-79.84,95%置信区间)进行了唐氏综合征筛查。其中,168 名(84%)唐氏综合征低风险,32 名(16%)唐氏综合征高风险。

结论

在一家三级保健中心妇产科就诊的孕妇中,唐氏综合征筛查的流行率与在类似环境中进行的其他研究相似。

关键词

唐氏综合征;颈项透明层;筛查。

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