2017—2022年广西5岁以下先天性心脏病儿童死亡情况分析  

Analysis on the deaths of children under 5 years old with congenital heart disease in Guangxi from 2017 to 2022

作　　者：张宇星[1] 韦萍[1] 韦霁珊 黄旭华 刘湘红[1] ZHANG Yuxing;WEI Ping;WEI Jishan;HUANG Xuhua;LIU Xianghong(Department of Health Care,Maternity and Child Health Care of Guangxi Zhuang Autonomous Region,Nanning 530000,China)

机构地区：[1]广西壮族自治区妇幼保健院保健部,南宁530000

出　　处：《中国临床新医学》2025年第1期83-88,共6页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：广西卫生健康委自筹经费科研课题(编号:Z-A20220327,Z-A20230328)。

摘　　要：目的分析2017—2022年广西5岁以下先天性心脏病儿童的死亡情况。方法从“桂妇儿健康服务信息管理系统”下载2017年1月至2022年12月广西111个县(市、区)因先天性心脏病死亡的1271例5岁以下儿童的死亡报告卡数据资料并进行分析。结果2017—2022年广西5岁以下儿童先天性心脏病年死亡率由40.37/10万下降到24.60/10万,城市和农村5岁以下儿童先天性心脏病死亡率分别为21.58/10万和44.78/10万。5岁以下先天性心脏病儿童死亡地点以医院为主(47.92%),死前多接受住院治疗(73.96%),省(市)级医院(占60.50%)是最主要的诊治机构。结论2017—2022年广西5岁以下先天性心脏病儿童年死亡率呈下降趋势,农村儿童死亡率高于城市,需不断提高基层儿科的医疗服务质量,加速优质医疗资源均衡分配。Objective To analyze the deaths of children under 5 years old with congenital heart disease in Guangxi from 2017 to 2022.Methods The data from the death report cards of 1271 cases of children under 5 years old who died of congenital heart disease in 111 counties(cities and districts)of Guangxi from January 2017 to December 2022 were downloaded from Guangxi Women and Children Health Service Information Management System and were analyzed.Results From 2017 to 2022,the annual mortality of congenital heart disease in children under 5 years old in Guangxi decreased from 40.37/100000 to 24.60/100000,and the mortality of children in urban and rural areas was 21.58/100000 and 44.78/100000,respectively.The majority of the deaths of children under 5 years old with congenital heart disease were in hospitals(47.92%),and most of them received hospital treatment before death(73.96%),and provincial(city)hospitals(60.50%)were the most important diagnosis and treatment institutions.Conclusion The annual mortality of children under 5 years old with congenital heart disease in Guangxi showed a downward trend from 2017 to 2022,and the mortality of rural children was higher than that of urban children.It is necessary to continuously improve the quality of primary pediatric medical services and accelerate the balanced distribution of high-quality medical resources.

关 键 词：先天性心脏病 5岁以下儿童 死亡 

分 类 号：R725.4[医药卫生—儿科]