2011至2013年北京市0～1岁儿童神经心理发育迟缓筛查状况分析

Neuropsychological developmental delay screening among infants aged 0-1 year from 2011 to 2013 in Beijing

目的研究2011至2013年北京市0~1岁儿童发育迟缓社区筛查状况,为政府制定政策提供依据。方法北京市社区卫生服务中心采用丹佛发育筛查法(DDST)对辖区内0~1岁儿童进行发育迟缓筛查,并按工作常规要求网上直报2011、2012、2013年儿童发育迟缓筛查数据。使用SPSS 17.0进行统计分析。结果 2013年0~1岁常住人口(户籍+非户籍)发育迟缓筛查率为89.29%,户籍为91.32%,非户籍为85.92%,达到十二五指标,从2011到2013年,筛查率逐年提高(X^2值为1 284.582~32504.756,均P<0.001)。有14个区县常住人口、15个区县户籍人口、10个区县非户籍人口筛查率超过85%,城区、近郊已完成十二五指标,远县接近十二五指标。结论各区县筛查工作发展很不平衡,远、近郊各区县总体筛查水平较低,下步工作中应该继续加大发育筛查人员培训力度,加强非户籍儿童发育筛查工作的管理力度,并根据地区情况分类管理。

Objective To analyze the screening results of neuropsychological developmental delay among infants aged 0-1 year in Beijing community from 2011 to 2013, so as to provide basis for government to formulate policies .Methods Community health service centers in Beijing conducted developmental delay screening among infants aged 0-1 year with Denver developmental screening test （ DDST） , and the data was reported online in 2011, 2012 and 2013.Statistical analysis software SPSS 17.0 was used for analysis .Results The overall developmental delay screening rate of infants aged 0-1 year was 89.29%in 2013 in resident population , and among them 91.32% had census registration and 85.92%were not Beijing household .The 12th five year plan index of Beijing was achieved .From 2011 to 2013 the screening rate increased yearly （χ2 value ranged 1 284.582-32 504.756, all P〈0.001）.The screening rate was over 85% in resident population of 14 districts and counties , in population with census registration of 15 districts and counties , and in non-household population of 10 districts and counties .The urban and suburb areas had already achieved the 12th five year plan index , while the outer suburb and counties were close to the index .Conclusion The screening in different districts and counties is not balanced , and screening levels in exurb and outskirts are lower .It is necessary to strengthen the training for supervisors on developmental screening and management on screening among non-Beijing household in subsequent work .Screening results should be managed according to regional situation .