北京市大兴区婴儿先天性心脏病10年监测分析  

Analysis on ten years monitoring data of congenital heart disease in infants in Daxing district of Beijing

作　　者：朱金丽[1] 游红[1] 孙芳瑜 樊航[1] 

机构地区：[1]北京市大兴区妇幼保健院,北京102600

出　　处：《中国妇幼健康研究》2013年第4期556-558,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的了解婴儿先天性心脏病(简称先心痛)的发生情况,完善管理。方法运用描述性统计学方法回顾性分析大兴区2002至2011年出生婴儿先天性心脏病监测资料。结果先心病平均检出率为6.30‰,自2006年以来一直在6.00‰以上。6个月内检出者占95.58%;二级医院检出占75.41%。10年间,婴儿死亡率由2002年的5.80‰降到2011年的2.65‰(x^2=841.50,P<0.01);2002年至2006年先心病死亡专率平均为1.28‰,2007年至2011年先心病死亡专率平均为0.88‰。在249例先心痛中,前4位病种占80.32%,其中室间隔缺损发生比例居首(30.92%);存活儿童中87.98%发育正常。结论 定期监测是早发现、早诊断先心病的重要手段;将先心病监测时限从围产期延长至婴儿1岁的管理方法可行有效,值得推广;但对先心病发生的影响因素缺乏监测资料,因此补充完善监测内容、加强对婚前、孕前、孕早期等重点时期目标人群预防管理,巩固产、儿科合作,持续密切对疑似和确诊儿童进行随访管理更加重要。Objective To investigate the occurrence of congenital heart disease （CHD） and to improve management of it. Methods Descriptive statistic method was used to retrospectively analyze the monitor data of CHD in infants from 2002 to 2011 in Daxing District. Results The average detection rate of CHD was 6.30%v, and it maintained over 6.00%0 since 2006. Cases diagnosed within 6 months occupied 95.58%, and the cases detected in secondary hospitals occupied 75.41%. The mortality rate of infants declined from 5.80%0 in 2002 to 2.65%0 in 2011 （X2 = 841.50, P 〈 0.01 ）. The average specific mortality rate of CHD from 2002 to 2006 was 1.28%0, and that was 1.28%0 from 2007 to 2011. Among 249 cases of CHD, the first 4 diseases occupied 80.32%. Veutricular septal defect（VSD） ranked first（30.92% ）, and 87.98% of survival infants developed normally. Conclusion Regular monitoring is the key measure to discover and diagnose CHD early. It is feasible and effective to prolong the CHD monitoring time limit from perinatal period to one year old, and it deserves popularizing. However, because the monitoring data on influencing factors of CHD is insufficient, it becomes very important to complement and improve monitoring, strengthen management of targeted population at premarital, pre-pregnancy and early pregnant period, maintain cooperation between obstetrics department and pediatric department, and to continue follow-up management of suspected and diagnosed infants.

关 键 词：婴儿 先心病 检出率 监测 

分 类 号：R174[医药卫生—妇幼卫生保健]