云南省部分地区3～18岁人群先天性心脏病患病率调查

Epidemiological investigation on congenital heart disease in several regions of Yunnan province

目的分析云南省部分地区3～18岁人群先天性心脏病的现状和分布特点.方法采用分层整群抽样方法,2001年9月至2003年9月对云南西双版纳州、大理州、保山龙陵、潞西市、个旧地区48 638名3～18岁人群进行横断面流行病学调查.结果先天性心脏病总患病率为5 08‰,男性为5.09‰,女性为5.07‰.不同地区的患病率西双版纳州为2.75‰,大理州为7.85‰,保山龙陵为9 59‰,个旧市为4.80‰,潞西市五岔路为16.99‰.同一区域不同人群患病率,个旧市区患病率3 25‰,矿区中老厂锡矿为9.10‰,大屯选厂为11.20‰,保山龙陵城区患病率为5.74‰,农村为11.35‰,大理城市患病率为4.90‰,农村为8.71‰,西双版纳城市为1 69‰,农村为4.40‰.不同民族患病率,傣族为5.39‰,基诺族为6.83‰,哈尼族为0‰,白族为8.12‰,景颇族为14.18‰.结论云南省先天性心脏病存在区域性、民族差异性,与国内报道有明显差异.

Objective To investigate the distribution of congenital heart disease(CHD) aged 3-18 in several regions of Yunnan province. Methods Cross-rectional studies were carried out among (48 638) children from Xishuangbanna,Dali,Baoshan Longling,Luxi Mangshi and Gejiu in Yunnan province with stratified,clustered sampling. Results The overall morbidity of CHD was (5.08)‰ with (5.09)‰ in males and (5.07)‰ in females. Morbidity rates in different regions were (2.75)‰ in Xishuangbanna,(7.85)‰ in Dali,(9.59)‰ in Baoshan Longling,(4.80)‰ in Gejiu,(16.99)‰ in Luxi Wuchalu. However,in the same area,rates were different among different residents:(3.25)‰ in Gejiu,and was (9.10)‰ in Laochang stannum mine,(11.20)‰ in Datunxuanchang; (5.74)‰ at the city of Baoshan Longling,(11.35)‰ at countryside; (4.90)‰ at the city of Dali,(8.71)‰ at countryside; (1.69)‰ at the city of Xishuangbanna,(4.40)‰ at country. Morbidity rates in different ethnic groups were as follows: (5.39)‰ in Dai,(6.83)‰ in Jinuo,0‰ in Hani,(8.12)‰ in Bai,(14.18)‰ in Jingpo. Conclusion There were significant regional and ethnic differences seen in Yunnan on the mobidity of CHD which was different from the domestic literature reported.