凉山州木里县青少年先天性心脏病的流行病学调查

Investigation of CHD Epidemiological among Children in Muli Country

目的了解先天性心脏病（先心病CHD）在凉山州木里县高海拔儿童及青少年中的患病情况及分布特点，分析引起当地CHD发病的主要原因。方法采用随机抽样方法．2009年11月对凉山州木里县5156名3～18岁儿童及青少年进行CHD流行病学调查，并对CHD的患病情况进行X2检验等统计学分析。结果CHD总患病率为3．88‰，男性为2．08％，女性为6．18‰；不同民族CHD患病率藏族为4．70‰，彝族5．48‰，苗族1．40‰；CHD的类型房间隔缺损12例，占60％、室间隔缺损（VSD）2例．占10％：动脉导管未闭（PDA）2例，占10％；法乐氏四联症3例，占15％；肺动脉瓣狭窄1例，占5‰结论凉山州木里县青少年CHD男女发病率有显著性差异，女性患病率高于男性，各民族之间患病率无差异显著性，CHD以房间隔缺损型居多。

Objective The epidemiological characteristics of congenital heart disease（CHD） among children from 3 to 18 years old have been investigated in mull county of Sichuan Province.Methods A total of 5156 children were examined in this epidemiological investigation of CHD.Results A total of 20 CHD cases have been detected. Total morbidity is 3.88‰ ,Female morbidity is 6.18‰ ,male morbidity is 2.08‰. Morbidity of Yi people is 5.48‰ ,Zang people is 4.70‰,Miao people is 1.40‰ .The proportion of Artial Septal Defect（ASD） in CHD is 60%.Conclusion There is statistical difference in the morbidity between different gender,while There is no statistical difference among different nationalities,The proportion of ASD in CHD is primary.