宁波市海曙区婴幼儿先天性心脏病监测与随访

Monitoring and follow-up of infants with congenital heart disease in Haishu district of Ningbo city

【目的】监测婴幼儿先天性心脏病(先心病)的发病情况和预后,为幼儿先心病的保健管理提供资料。【方法】2008-2010年在宁波市海曙区出生的足月活产儿8 259例中,经心脏彩超确诊为先天性心脏病的婴幼儿221例进行定期随访跟踪。【结果】婴幼儿先心发病率居前4位的分别为室间隔缺损(占24.89%),卵圆孔未闭(占22.62%),房间隔缺损合并动脉导管未闭(占13.57%),动脉导管未闭合并卵圆孔未闭(占13.57%);221例先心病患儿均在1岁前确诊。【结论】先天性心脏病是我国重要的公共卫生问题之一,开展对先天性心脏病的监测和随访,提高先天性心脏病婴幼儿的生活质量。

【Objective】 To investigate the incidence and prognosis of infants with congenital heart disease（CHD）.【Methods】 There were 8 259 cases about the young children who were full-term live births born in Ningbo Haishu district From 2008 to 2010.221 cases were diagnosed by echocardiography in infants with congenital heart disease,they were regular follow-up tracked.【Results】 The incidence of infants with congenital heart among the top four respectively were the ventricular septal defect,（accounting for 24.89%）,patent foramen ovale（accounting for 22.62%）,atrial septal defect with patent ductus arteriosus（accounting for 13.57%）,arterial ductus closure and patent foramen ovale（accounting for 13.57%）;221 cases of congenital heart disease were diagnosed before their first birthday.【Conclusion】 Congenital heart disease is an important public health problems,carry out monitoring and follow-up congenital heart disease,could improve quality of life of infants and young children.