2006～2007年四川省新生儿疾病筛查情况与改进策略

Screening status and advanced strategies of neonatal diseases in Sichuan,2006～2007

目的:进一步提高新生儿疾病筛查数量和质量。方法:建立筛查网络,落实人员职责,开展人员培训,加强宣传教育,加大政策支持力度,实行规范化管理,加强检查督导工作和质量控制。结果:2007年四川省新筛覆盖率以市(州)、县为单位,覆盖率分别为95.2%和63.5%,医疗保健机构覆盖率为48.8%;2007年全省新生儿筛查率为39.8%,比2006年26.5%有明显提高;全省可疑CH阳性儿召回率和确诊甲低患儿检出率比2006年有所增加,经典型苯丙酮尿症患儿检出率比2006年略有下降。结论:四川省新生儿疾病筛查疾病检出率高,开展新生儿疾病筛查工作非常有意义。

Objective:To improve the quantity and quality of screening of neonatal diseases.Methods:The screening net was established,training of faculties was conducted,propagate and education of screening were strengthened,political support,supervising work and quantity control was improved.Results:The covering ratios were 95.2%,63.5% and 48.8% in separate city,country and healthy care units.The rates of newborn screening were 39.8% in 2007 and 26.5% in 2006.The recall ratio of suspected CH positive neonates and detection rate of hypothyroidism increased compared with 2006,but the detection rate of typical phenylketonuria decreased.Conclusion:The detection rate of neonatal diseases in Sichuan is high,it is meaningful to begin the screening work.