攀枝花市3～14岁儿童现存先天性心脏病流行病学调查

Epidemiological Investigation of Existing Congenital Heart Disease in Children Aged 3-14 Years in Panzhihua City

目的调查攀枝花市3～14岁儿童现存先天性心脏病流行病学特征。方法 2015～2017年应用7项先天性心脏病筛查指标和超声心动图诊断技术,对攀枝花市3～14岁儿童进行先天性心脏病筛查并明确诊断,对现存先天性心脏病及时给予干预;将现存先天性心脏病及患病率等各项指标进行了统计分析。结果 133017名儿童筛出先天性心脏病404名,先天性心脏病的整体检出率3. 03‰,其中现存先天性心脏病161例,现存先天性心脏病患病率1. 21‰;现存先天性心脏病中,男、女患病率差异无统计学意义(P>0. 05),伴随杂音的为98. 76%,城市人口中患儿28. 57%,乡村人口中患儿71. 43%,城、乡儿童现存先天性心脏病患病率差异有统计学意义(P<0. 01),病种排位第一为房间隔缺损。结论攀枝花市儿童现存先天性心脏病存在区域、病种差异,且多数需要干预,应高度关注。

Objective To investigate the epidemiological characteristics of congenital heart disease in children aged 3-14years in panzhihua city.Methods From 2015 to 2017,7screening indicators of congenital heart disease and echocardiography were used to screen and clearly diagnose congenital heart disease in children aged 3-14years in panzhihua city,and timely intervention was given to existing congenital heart disease.The existing indicators of congenital heart disease and prevalence were analyzed.Results The overall detection rate of congenital heart disease was 3.03‰,including 161cases of congenital heart disease and 1.21‰of the prevalence of congenital heart disease.Among the existing congenital heart disease,there was no significant difference in the prevalence between male and female(P>0.05),98.76%accompanied by noises,28.57%in urban population,71.43%in rural population,and significant difference in the prevalence of congenital heart disease between urban and rural children(P<0.01).The first disease category was atrial septal defect.Conclusion The existing congenital heart disease in children in panzhihua has regional and disease differences,and most of them need intervention,which should be paid high attention to.