摘要
目的分析合肥市婴儿先天性心脏病（简称先心病）的流行病学情况,为先心病监测干预提供科学依据。方法选取2013年5月-10月在该地社区卫生服务中心或乡镇卫生院参加体检的婴儿5 026名,采用彩色多普勒超声对其进行心脏检查,分析该地婴儿先心病的发病情况。结果 5 026名婴儿中,检出先心病婴儿75名,患病率为14.92‰;病理类型以房间隔缺损多见,患病率为6.16‰,其次为室间隔缺损,患病率为4.58‰;男女性别间先心病患病率、婴儿出生季节与先心病患病率、母亲年龄与其子代先心病患病率间比较,差异均无统计学意义（P〉0.05）;不同年龄段间先心病患病率比较,差异有统计学意义（P〈0.05）。结论先心病是影响合肥市儿童生存和健康的主要公共卫生问题,需要早期筛查、早期发现和早期干预,以降低该地婴儿先心病死亡率,提高儿童的生存质量。
Objective To analyze the epidemiological status of congenital heart diseases（ CHD） among infants in Hefei,in order to provide scientific basis for monitoring and intervention of CHD. Methods From May to October in 2013,a total of 5 026 infants were included who had participated in physical examination in local community health center or township health center. Color Doppler echocardiography for heart was applied to carry out cardiac examination,and then incidence rates of infant congenital heart diseases were analyzed. Results Among 5 026 infants,75 infants were detected as CHD with incidence rate of 14. 92‰; with regard to pathological type,atrial septal defect（ ASD） was the most common type with incidence rate of 6. 16‰,followed by ventricular septal defect（ VSD） with incidence rate of 4. 58‰. With regard to prevalence of congenital heart diseases,there was no significant difference between different genders,seasons of birth or maternal age（ P 〉0. 05）,while significant difference was found among infants in different age group（ P〈 0. 05）. Conclusion CHD is the major public health problem which affects children＇s survival and health in Hefei. Early screening,early detection,and early intervention were required to reduce case fatality rate of infantile CHD and improve quality of life for children.
出处
《中国妇幼保健》
CAS
2015年第26期4523-4525,共3页
Maternal and Child Health Care of China
基金
安徽省卫生计生委科研计划项目〔14ZC029〕
关键词
先天性心脏病
患病率
婴儿
Congenital heart disease
Morbidity
Infant
