2356例先心病相关因素构成比流行病学分析

EPIDEMIOLOGY ANALYSIS OF CORRELATIVE FACTOR PROPORTION OF 2356 CASES OF CONGENITAL HEART DISEASE

目的:探讨成都及附近地区近十几年来(1988-05-2001-06)先心病流行病学状况。方法:应用流行病学群组列队方法,对先经二维彩色多普勒检查确诊、再经心血管造影或手术探查征实的2356例先心病,分析其病种分布、年龄分布、性别分布、罹患因子分布等相关因素的构成比情况。结果:(1)室间隔缺损、房间隔缺损、动脉导管未闭的检出率居于前三位。(2)中老年先心病的检出率有增高趋势。(3)先心病的病种分布与性别具有一定的相关性。(4)罹患因子在先心病的发病率中起着重要作用。

Objective: To investigate the epidemic conditions of congenital heart diseases in Chengdu region from May 1988 to June 2001. Method: 2356 cases of congenital heart diseases had been identified by two - dimensional echocardiography and color Doppler flow imaging, and then confirmed by cardiovascular angiographies, or/and surgical operation. The correlative factor proportion of diseases kind, age, sex and risk factors were analyzed. Result: 1. The identified rates of ventricular septal defect, atrial septal defect and patent ductus arteriosu ranked in the first three places. 2. The identified rate of middle and old patients appeared an increasing tendency. 3. There was a certain correlation of disease distribution of congenital heart disease with sex. 4. Risk factors played a very important role in the development of these congenital heart disease.