高危新生儿的社区筛查及管理

Community screening and management of high risk infants

目的了解什刹海地区高危儿筛查及管理情况，为加强社区高危儿的保健管理提供依据。方法对2006～2010年什刹海社区预防保健科管理的全部新生高危儿资料进行筛查及高危因素的分析。结果①什刹海地区新生高危儿筛查率本市（27．05％）高于外来人口（17．67％）；高危儿合格管理率本市为55．85％，高于外来人口的8．00％；②本市和外来人口新生儿高危筛查阳性率及管理率在2006～2010年间均呈逐年升高趋势；③常见的新生高危儿前3位高危因素依次是母亲高龄、早产以及多胎，母亲高龄已逐渐成为最常见的新生儿高危因素。结论社区高危儿的管理工作水平呈逐年提高状态，但仍需进一步加强对外来人口驻本地高危儿的筛查与管理。

Objective To investigate the current status of screening and management of high risk infants （HRIs） at Shichahai district so as to provide evidence for enforcing community＇ s management for HRIs. Methods The data of HRIs managed by community prevention and health care department in Shichahai from 2006 to 2010 were screened and analyzed for risk factors. Results The screening rate （27.05%） of HRIs in Beijing was higher than that （ 17.67% ） of external population, and the qualified management rate of HRIs in Beijing was 55.85%, which was higher than that （8.00%） of external population. There was an increasing trend in positive screening rate and management rate of HRIs between 2006 and 2010. The first three common high risk factors were eider pregnant women, premature and superfoetation. Conclusion The management of HRis in community improves year by year, but the screening and management of HRis from external population need to be enforced.