浙江省新生儿疾病筛查工作质量监测与评价

Quality monitoring and evaluation of neonatal disease screening in Zhejiang Province

新生儿疾病筛查是预防出生缺陷的主要手段,监测与评价新生儿疾病筛查工作有助于提升筛查质量和效率。浙江省新生儿疾病筛查质量控制中心开展包括新生儿疾病筛查、诊断、治疗、随访全过程的严格质控,本文收集2018—2020年浙江省新生儿遗传代谢病、听力和先天性心脏病筛查资料,通过筛查率、疑似阳性召回率和疾病检出率评价浙江省新生儿疾病筛查工作质量。浙江省新生儿遗传代谢病、听力和先天性心脏病的筛查率和召回率均较高,筛查疾病的检出率较稳定,新生儿疾病筛查整体工作质量较高。扩大筛查影响力、巩固筛查成果、寻找提升突破口是浙江省今后新生儿疾病筛查质控工作的重点。

Neonatal disease screening is a major tool for prevention of birth defects,and monitoring and evaluation of neonatal disease screening facilitates the improvements in screening quality and efficiency.A strict quality control of screening,diagnosis,treatment and follow-up of neonatal diseases is performed in Zhejiang Provincial Center for Quality Control of Neonatal Disease Screening.In this study,the data pertaining to screening of neonatal inherited metabolic dis⁃eases,hearing loss and congenital heart diseases were collected in Zhejiang Province from 2018 to 2020,and the screening rate,recall rate of suspected screening-positive neonates,and detection rate of diseases were calculated to as⁃sess the quality of neonatal disease screening.The screening rate and recall rate of neonatal inherited metabolic diseas⁃es,hearing loss and congenital heart diseases were high in Zhejiang Province,and the detection of screened diseases was stable,indicating a high overall quality of neonatal disease screening.Increasing the impact of neonatal disease screening and consolidating the screening achievements should be given a high priority during the future quality control of neonatal disease screening in Zhejiang Province.