2008～2012年山西省围生期先天性心脏病监测资料分析  

Congenital heart defects surveillance during the perinatal period in Shanxi Province, 2008 - 2012

作　　者：张雪娟[1] 赵志华[1] 黄晶[1] 郭建农 

机构地区：[1]山西省妇幼保健院保健部,太原030013 [2]山西省临汾市临汾市妇幼保健院保健部,041000

出　　处：《中国生育健康杂志》2013年第5期364-366,共3页Chinese Journal of Reproductive Health

基　　金：基金项目：山西省回国留学人员科研项目资助（2007031097-3）;山西省人社厅2009年度留学回国人员科技活动择优资助（启动类）;山西省国际合作项目资助（2010081069）

摘　　要：目的对山西省出生缺陷监测的先天性心脏病（CHD）进行流行病学分析，了解围生期CHD的变化趋势和影响因素。方法监测2008—2012年全省42所县级及以上的医院住院分娩的孕满28周至生后7d的围生儿。结果2008—2012年山西省围生期CHD发生率出现上升趋势，城市上升趋势明显，农村变化趋势不明显；CHD发生率无性别差异；除2012年外，其他年度无明显城乡差异；围生期CHD的产前诊断比例逐年增高。结论山西省监测到的围生期CHD发生率受到孕期保健、产前诊断和生后早期诊断水平的影响。Objective To describe the epidemiological characteristics of congenital hearth defects （CHD） during the perinatal period in Shanxi Province and to investigate the time trend. Methods The surveillance program consisted of 42 hospitals in Shanxi Province. We collected information about CHD during the perinatal period from 2008 to 2012. Subjects included fetuses of 28 completed weeks of gestation or greater （ including live-birth and stillbirth） and newborn of 7 completed days after birth or smaller. Results From 2008 to 2012, the overall CHD prevalence increased from 6.5 per 10,000 to 12.0 per 10,000. In urban area, the prevalence of CHD was 6.3 per 10,000 and 15.9 per 10,000 in 2008 and 2012, respectively, indicating an increasing trend. In rural area, the prevalence of CHD was 6.3 per 10,000 and 9.0 per 10,000 in 2008 and 2012, respectively, with no apparent increasing trend. The proportion of CHD diagnosed before birth increased year by year. Conclusion The prevalence of CHD increased during the 5 years of surveillance. This in- creasing trend may be affected by early detection and diagnosis.

关 键 词：先天性心脏病 出生缺陷监测 发生率 

分 类 号：R541.1[医药卫生—心血管疾病]