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["附件1"]
["高明区婚前孕前健康检查项目表"]
["序号","项　目",{"$nulls":3},"女性","男性","目  的","意  义","收费编码","检测","医疗机构收费标准"]
[{"$nulls":9},"（参考）","方法","女性","男性"]
[1,"建立电子健康档案，优生健康教育",{"$nulls":3},"√","√","建立健康生活方式，提高风险防范意识和参与自觉性","规避风险因素",130800001,"健康咨询，在省妇幼信息平台建立电子健康档案",5,5]
[2,"病史询问 (了解孕育史、疾病史、家族史、用药情况、生活习惯、饮食营养、环境危险因素等)",{"$nulls":3},"√","√","评估是否存在相关风险","降低不良生育结局风险","110500001-1","一般健康体检",25,25]
[3,"体格检查","常规检查（包括身高、体重、血压、心率、甲状腺触诊、心肺听诊、肝脏脾脏触诊、四肢脊柱检查等）",null,null,"√","√","评估健康状况，发现影响优生的相关因素","减少影响受孕及导致不良妊娠结局发生的风险"]
[null,null,"女性生殖系统检查",null,null,"√",null,"检查双方有无生殖系统疾病"]
[null,null,"男性生殖系统检查",{"$nulls":3},"√"]
[4,"实验室检查11项","阴道分泌物","白带常规检查",null,"√",null,"筛查有无阴道炎症","减少宫内感染",250104014,"阴道分泌物检查",8,"-"]
[{"$nulls":3},"淋球菌检测",null,"√",null,"筛查有无感染","减少流产、早产、死胎、胎儿宫内发育迟缓等",250501004,"特殊细菌涂片检查",10.8,"-"]
[{"$nulls":3},"沙眼衣原体检测",null,"√",{"$nulls":3},"250501031-2","免疫学法",36,"-"]
[5,"实验室检查11项","血液常规检验（血红蛋白、红细胞、白细胞及分类、血小板）",null,null,"√","√","筛查贫血、血小板减少等","减少因重症贫血造成的胎儿宫内发育迟缓；减少因血小板减少造成的新生儿出血性疾病","250101015-2","五分类",18,18]
[6,null,"地中海贫血筛查",null,null,"√","√","筛查地中海贫血基因携带者","筛查可疑地中海贫血患者，并为针对性进行地中海贫血基因诊断提供依据。（后续地贫血红蛋白分析及基因检测等纳入出生缺陷地贫防控项目）",null,"平均红细胞体积（MCV）+平均红细胞血红蛋白含量（MCH)（血常规中包括此项目）"]
[7,null,"尿液常规检验",null,null,"√","√","筛查泌尿系统及代谢性疾患","减少生殖道感染、宫内感染、胎儿死亡和胎儿宫内发育迟缓",250102035,"尿液分析",8,8]
[8,null,"血型（包括ABO血型和Rh阳/阴性）",null,null,"√","√","预防血型不合溶血","减少胎儿溶血导致的流产、死胎死产、新生儿黄疸等","260000001、260000004","ABO红细胞定型、Rh血型鉴定",13,13]
[9,null,"血清葡萄糖测定",null,null,"√",null,"糖尿病筛查","减少流产、早产、胎儿畸形等风险","250302001-2","各种酶法",5.4,"-"]
[10,null,"肝功能检测（谷丙转氨酶）",null,null,"√","√","评估是否感染及肝脏损伤情况","指导生育时机选择；减少母婴传播","250305007-3","速率法",4.5,4.5]
[11,null,"乙型肝炎血清学五项检测",null,null,"√","√",null,null,"250403004（5、6、7、8）-1","酶标法",36,36]
[12,null,"肾功能检测（肌酐）",null,null,"√","√","评价肾脏功能","指导生育时机选择；减少胎儿宫内发育迟缓","250307002-2","酶促动力学法",4.5,4.5]
[13,"实验室检查11项","甲状腺功能检测（促甲状腺激素）",null,null,"√",null,"评价甲状腺功能","指导生育时机选择；减少流产、早产、胎儿宫内发育迟缓、死胎死产、子代内分泌及神经系统发育不全、智力低下等","250310001-2","化学发光法",36,"-"]
[14,null,"G-6PD缺乏症检测",null,null,"√","√","检测G-6PD状况","加强产前指导，避免服用可导致溶血的食品和药品，避免新生儿溶血导致核黄疸",250202018,"葡萄糖6-磷酸脱氢酶活性检测",10.8,10.8]
[15,"病毒筛查4项","梅毒螺旋体筛查",null,"梅毒螺旋体血清学检测","√","√","筛查有无梅毒感染","减少流产、死胎死产、母婴传播","250403053-1","凝集、印迹法",31.5,31.5]
[{"$nulls":4},"非梅毒螺旋体血清学检测",{"$nulls":4},"250403054或250403084S","快速血浆反应素实验（RPR）或甲苯胺红梅毒血清学试验定性（TRUST）",13.5,13.5]
[]
[16,null,"风疹病毒IgG抗体测定",null,null,"√",null,"发现风疹病毒易感个体","减少子代先天性风疹综合征：先天性心脏病、耳聋、白内障、先天性脑积水等","250403021-1","各种免疫学方法",26,"-"]
[17,null,"巨细胞病毒IgM抗体和IgG抗体测定",null,null,"√",null,"筛查巨细胞病毒感染状况","减少新生儿耳聋、智力低下、视力损害、小头畸形等",250403022,"巨细胞病毒抗体测定",104,"-"]
[18,null,"弓形体IgM和IgG抗体测定",null,null,"√",null,"筛查弓形体感染状况","减少流产、死胎、胎儿宫内发育迟缓等 ","250403020-3","化学发光法",104,"-"]
[19,"影像1项","妇科超声常规检查，送图文报告",null,null,"√",null,"筛查子宫、卵巢异常","减少不孕、流产及早产等不良妊娠结局","220301001-7220800008","彩色B超常规检查",108,"-"]
[]
[]
[20,"风险评估和咨询指导",{"$nulls":3},"√","√","评估风险因素，健康促进，指导落实预防措施，降低风险","减少出生缺陷发生，提高出生人口素质",130900001,"健康咨询",5,5]
[21,"早孕和妊娠结局追踪随访",{"$nulls":3},"√",null,"了解早孕及妊娠结局相关信息，做好相关指导和服务","降低出生缺陷发生风险",130800001,"健康咨询随访",5,"-"]
[22,"艾滋病检查",{"$nulls":3},"√","√","筛查有无HIV感染","预防母婴传播，减少宫内感染","250403019-1","各种免疫学方法",36,36]
["合计",864.8,{"$nulls":9},654,210.8]
["备注：1.“医疗机构收费标准”参考《佛山市公立医院基本医疗服务项目和价格》。\n      2.所有项目为全省统一提供、由群众知情同意选择婚前孕优检查项目。"]

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