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目的分析辽宁省2012年~2014年围产儿先天性心脏病发病资料,了解辽宁省发病现状,为进一步制定降低其发生干预措施提供科学依据。方法回顾性分析辽宁省出生缺陷监测医院上报数据中先天性心脏病儿的资料。结果(1)3年间辽宁省共监测围产儿496 174例,其中先天性心脏病儿1165例,平均发生率23.5/万,先天性心脏病的发病率呈波段式上升趋势,先天性心脏病位于出生缺陷构成首位;(2)先天性心脏病发病率各特征别:城市人群先天性心脏病的发生率高于农村,差异有显著统计学意义(P<0.01),女性先天性心脏病的发病率高于男性,性别差异比较无统计学意义(P>0.05),孕母年龄在35岁以上的明显高于其他年龄组,差异有显著统计学意义(P<0.01);(3)单纯先天性心脏病类型以室间隔缺损为主;(4)先天性心脏病诊断依据:超声波诊断方式占主要地位,其次是临床诊断。结论需加强专业技能培训提高孕期诊断水平,同时减少漏报率,获得更可靠的资料。
Objective To analyze the incidence of congenital heart disease in perinatally aged children from 2012 to 2014 in Liaoning province and to find out the current situation of the disease in Liaoning Province and provide a scientific basis for further making interventions to reduce its occurrence. Methods The data of congenital heart disease in data reported by Birth Defects Monitoring Hospital of Liaoning Province were retrospectively analyzed. Results (1) A total of 496 174 cases of perinatal children were monitored in Liaoning province in the past three years, of which 1165 were children with congenital heart disease, with an average incidence of 23.5 / million. The incidence of congenital heart disease showed a wave-like upward trend. Congenital heart disease Birth defects constitute the first place; (2) the incidence of congenital heart disease Do not feature: the incidence of congenital heart disease in urban population than in rural areas, the difference was statistically significant (P <0.01), female congenital heart disease (P> 0.05). The age of pregnant women over 35 years old was significantly higher than that of other age groups (P <0.01). (3) Pure innate Sexual heart disease type mainly to ventricular septal defect; (4) diagnosis of congenital heart disease based on: ultrasonic diagnosis of the main status, followed by clinical diagnosis. Conclusion The need to strengthen professional skills training to improve the diagnostic level during pregnancy, while reducing the false negative rate, access to more reliable information.