314例儿童先天性心脏病分布特征描述

Investigation of congenital heart disease of children under 5 yea~ in Kunshan City

目的：掌握昆山市5岁以下儿童先天性心脏病流行情况和病例分布特征，为开展人群预防与疾病诊治提供依据。方法：对2008年8～12月期间完成的49901名5岁以下儿童先天性心脏病普查中确诊病例进行回顾性调查。结果：5岁以下儿童先天性心脏病检出率为6．29％o，男、女童检出率分别为6．47‰和6．11‰。差异无显著性（2=0．39，P值〉0．05）；先天性心脏病分布特点为随年龄增长先天性心脏病检出率降低，0-5岁儿童先天性心脏病病种前五位分别是ASD（27．07％）、VSD（23．89％）、ASD＋PDA（21．66％）、VSD＋PDA（6．69％）、PDA（5．73％），其中，单纯的VSD与合并其他畸形的VSD相加后，占比36．94％；不同年龄组儿童先天性心脏病病种顺位有差异，0岁～组和1岁～组房间隔缺损占比最高，而其他3个年龄组以室间隔缺损为最高；ASD检出率男性高于女性。结论：本地区5岁以下儿童CHD检出率处于国内平均水平，但分布特征有差异，制订综合防治措施应结合本地区CHD分布特征，以提高防治效果，

Objective ： Mastery of Kunshan city children under the age of five years the prevalence of congenital heart disease and the distribution of cases, to carry out prevention and disease diagnosis and treatment crowd. Methods：All children（49901） at the age of 0-5 in kunshan were investigated. 314 CHD cases for retrospective survey and statistical analysis .Results ： The detectable rate of CHD among children at the age of 0-5 was 6.29 %; The age distribution of CHD is as age increased,accounting for more than reducing CHD ;314 C HD patients, the top five were living in ASD（27.07% ） ,VSD（23.89% ） ,ASD＋PDA（21.66% ） ,VSD＋PDA（6.69% ） ,PDA（5.73% ）; The Group of ASD with the highest in 0-year-old and 1- year-old age group;The Group of VSD with the highest in 2 to 5 year-old age group; The detectable rate of ASD is higher in males than females. Conclusion：The detectable rate of CHD among children at the age of 0-5 was identical compare the average level of whole country.but the distributional characteristics of CHD was disparity.