2014-2019年遵义市红花岗区先天性心脏病医院监测结果

Monitoring Results of Hospital With Congenital Heart Disease in Honghuagang District of Zunyi City From 2014 to 2019

目的对遵义市红花岗区先天性心脏病(Congenital heart disease,CHD)医院监测结果进行分析,为进行先天性心脏病危险因素研究提供参考依据。方法抽取2014-2019年红花岗区两个出生缺陷医院监测点住院分娩的所有围产儿,对CHD的发生率、类型、人群分布等用Excel 2007软件建立数据库,采用卡方检验进行统计分析,检验水准α=0.05。结果2014-2019年遵义市红花岗区共上报围产儿36584例,发现CHD 617例,总发生率为168.65/万,上报发生率逐年上升。不同类型CHD顺位为卵圆孔未闭、动脉导管未闭、房间隔缺损、室间隔缺损。CHD上报发生率母亲长期居住城镇者高于乡村,男性高于女性,母亲生育年龄<20岁组、≥35岁组较高。结论CHD的报告发生率呈上升趋势,除早筛查早诊断早干预外,识别更多危险因素进行病因预防是CHD防控的根本措施。

Objective To provide a reference for study on risk factors of congenital heart disease(CHD)through analyzing the monitoring results of CHD from Honghuagang District Hospital of Zunyi City.Methods All of the perinatal infants with birth defection from two hospitals in Honghuagang district from 2014 to 2019 were selected.The incidence,type and population distribution of CHD were stored with Excel 2007 and analyzed statistically by Chi-square test.The test level wasα=0.05.Results A total of 36584 cases of perinatal infants were reported during 2014 to 2019,about 617 cases of CHD were identified,and the total incidence rate was 168.65/104,which meant an upward trend overall.The order of the different types of CHD was patent foramen ovale,patent ductus arteriosus,atrial septal defect and ventricular septal defect.The reported incidence of CHD of those mothers lived permanently in urban was higher than that in rural areas.And the reported incidence of CHD in male was higher than that in female.Furthermore,the reported incidence of CHD were higher in groups of mothers with childbearing age less than 20 years and over 35 years.Conclusions The status of the reported incidence of CHD was on the rise.In addition to early screening,early diagnosis and early prevention,identifying more risk factors for etiological prevention were the fundamental measures for the prevention and control of CHD.