广西柳州地区先天性心脏病患病率及不同亚型差异分析  

Analysis of prevalence of congenital heart disease and different subtypes in Liuzhou,Guangxi

作　　者：刘晓丽 易容松 雷先强 陈荣菊 黎江 韩咏 LIU Xiaoli;YI Rongsong;LEI Xianqiang;CHEN Rongju;LI Jiang;HAN Yong(Department of Pediatrics,Guangzhou Women and Children's Medical Center Liuzhou Hospital,Guangxi Zhuang Autonomous Region,Liuzhou 545000,China)

机构地区：[1]广州市妇女儿童医疗中心柳州医院儿内科,广西柳州545000

出　　处：《中国当代医药》2025年第4期132-135,共4页China Modern Medicine

基　　金：广西壮族自治区卫生健康委自筹经费科研课题(Z-B20241336);广西壮族自治区柳州市科技局科技创新能力与条件建设计划项目(2022SB023)。

摘　　要：目的分析广西柳州地区2020—2023年新生儿先天性心脏病(CHD)的患病率、不同亚型差异及其影响因素,以便更好地了解该地区CHD的疾病分布,为疾病预防、临床诊疗提供理论指导和管理医疗资源。方法收集2020—2023年柳州市各医疗诊断机构在《桂妇儿健康服务信息管理系统》上报的相关数据和产妇个人信息进行统计分析。结果2020—2023年柳州地区新生儿CHD的总患病率为8.90‰,且患病率呈逐年上升趋势,由2020年的5.34‰上升至2023年的12.25‰。城乡差异分析发现,城市地区CHD患病率高于农村地区,但这种差异正在逐年缩小。在母体特征方面,高龄产妇(35岁以上)的新生儿CHD患病率达到12.85‰,高于其他年龄段。CHD的常见亚型包括房间隔缺损(ASD)、动脉导管未闭(PDA)和室间隔缺损(VSD)。结论柳州地区CHD患病率逐年上升,高龄产妇面临较大风险。建议加强孕前及孕期监护,特别是对高龄产妇群体,同时提升农村地区医疗水平,以有效减少和预防CHD的发生。Objective To analyze the prevalence of congenital heart disease(CHD)in newborns from 2020 to 2023 in Liuzhou,Guangxi,the differences of different subtypes and their influencing factors,so as to better understand the disease distribution of CHD in this area,and provide theoretical guidance and management of medical resources for disease prevention,clinical diagnosis and treatment.Methods From 2020 to 2023,the relevant data and maternal personal information reported by medical diagnosis institutions in Liuzhou City in the"Guangxi Maternal and Child Health Service Information Management System"were collected and analyzed statistically.Results From 2020 to 2023,the total prevalence of CHD in newborns in Liuzhou was 8.90‰,and the prevalence showed an increasing trend year by year,from 5.34‰in 2020 to 12.25‰in 2023.The rural-urban difference analysis found that the prevalence of CHD was higher in urban areas than in rural areas,but this difference was shrinking year by year.In terms of maternal characteristics,the prevalence of CHD in neonates of older women(over 35 years old)reached 12.85‰,which was higher than that of other age groups.Common subtypes of CHD include atrial septal defect(ASD),patent ductus arteriosus(PDA),and ventricular septal defect(VSD).Conclusion The prevalence rate of CHD in Liuzhou is increasing year by year,and the elderly pregnant women are at greater risk.It is recommended to strengthen the pre-pregnancy and pregnancy monitoring,especially for the elderly parturient group,and improve the medical level in rural areas to effectively reduce and prevent the occurrence of CHD.

关 键 词：新生儿 先天性心脏病 患病率 流行特征 

分 类 号：R726.2[医药卫生—儿科]