2019-2022年南通市通州区新生儿先天性心脏病筛查结果分析  

Analysis of Screening Results of Neonatal Congenital Heart Disease in Tongzhou District of Nantong from 2019 to 2022

作　　者：曹晓慧 Cao Xiaohui(Maternal and Child Health Care Service Center,Tongzhou District,Nantong,Jiangsu,226300,China)

机构地区：[1]南通市通州区妇幼保健计划生育服务中心,江苏南通226300

出　　处：《中国初级卫生保健》2025年第2期75-78,共4页Chinese Primary Health Care

摘　　要：目的:分析11970名新生儿先天性心脏病的筛查结果,为新生儿先天性心脏病的有效防控提供信息及依据。方法:选取2019年5月-2022年12月于南通市通州区各助产机构出生的11970名新生儿为研究对象,采用“心脏听诊+经皮血氧饱和度测定”的方法对其进行先天性心脏病筛查,筛查阳性者均进行心脏超声诊断,对确诊先天性心脏病者进行全程规范随访。结果:11970名新生儿中共有11932人接受了先天性心脏病筛查,筛查率为99.68%;其中筛查结果为阳性的新生儿共240例,筛查阳性率为2.01%,对其进行超声心动图检查,经超声心动图确诊的先天性心脏病患儿共110例,阳性确诊率为45.83%(110/240),先天性心脏病患病率为9.19‰(110/11970)。结论:新生儿先天性心脏病筛查及筛查阳性者的干预、随访,是实现每一例先天性心脏病患儿早发现、早诊断、早干预的有力保障。社会各界应加大宣传力度以实现新生儿先天性心脏病筛查率100%的目标,有效保障先天性心脏病防治、转归的效果。OBJECTIVE To analyze the results of congenital heart disease(CHD)screening in 11970 newborns,providing information and basis for the effective prevention and control of neonatal CHD.METHODS A total of 11970 newborn born in various obstetric institutions in Tongzhou District from May 2019 to December 2022 were selected as the research subjects.With informed consent of the newborns’guardians,these newborns were screened for CHD using the method of“cardiac auscultation transcutaneous blood saturation measurement”.Those with positive screening results were required to undergo echocardiography;those confirmed with CHD were given timely health guidance or clinical intervention,and followed up in a standardized manner.RESULTS From May 2019 to December 2022,a total of 11932 newborns born in various obstetric institutions in Tongzhou District of Nanjing were screened for CHD,with 38 newborns not screened,in a screening rate of 99.68%.Among them,240 newborns had positive screening results,with a positive screening rate of 2.01%.A total of 110 newborns were confirmed to have CHD by echocardiography,with a positive confirmation rate of 45.83%(110/240)and an incidence rate of CHD of 9.19‰(110/11970).CONCLUSION The screening of newborns for CHD and the intervention follow-up of those with positive screening results are strong guarantees for the early detection,early diagnosis,and early intervention of every CHD child.The society should strengthen publicity to achieve a 100%screening rate for newborn CHD,thus effectively ensuring the prevention,treatment,and prognosis of CHD.

关 键 词：新生儿 先天性心脏病 筛查 

分 类 号：R725.4[医药卫生—儿科]