论文部分内容阅读
目的探讨胎儿先天性心脏病(先心病)发生趋势、危险因素及其产前诊断情况,为早期筛查、诊断及预防提供依据。方法选择2011~2013年在余姚市3个省属出生缺陷监测点孕产妇分娩的围产儿及<28w的治疗性引产儿进行监测。结果余姚市3个省属出生缺陷监测点3年间共分娩29 920例,发现胎儿先天性心脏64例,35岁以上高龄孕妇胎儿先心病发生率明显增加;51.79%是单一类型的先心病、23.21%并发2种类型的先心病、25.00%并发三种以上的先心病;有15.63%合并其他类型的出生缺陷;64例先心病患儿,活产儿仅为15.63%,治疗性引产占67.19%;本市户籍孕母先心病患儿<28W终止妊娠比例高于非余姚市户籍孕母。结论余姚市先心病发生率逐年上升,且绝大多数为致死性畸形。做好孕前宣教、孕期保健及胎儿产前先心监测工作,以减少先心病的发生及其不良预后,提高人口素质。
Objective To investigate the prevalence, risk factors and prenatal diagnosis of congenital heart disease (CHD) in fetuses and provide evidence for early screening, diagnosis and prevention. Methods From 2011 to 2013, three provinces of Yuyao were monitored at birth defect monitoring sites for pregnant women and perinatal children <28 weeks of therapeutic induced labor. Results The 29 920 cases of birth defects were detected in 3 provinces of Yuyao at 3 years. The incidence of fetal congenital heart disease was significantly increased in 35-year-old pregnant women. 51.79% were single type of congenital heart disease, 23.21 % Were complicated by two types of congenital heart disease, 25.00% were complicated by three or more congenital heart diseases, 15.63% were combined with other types of birth defects. Among 64 cases of children with congenital heart disease, only 15.63% of live births and 67.19% of induced abortion. The city of pregnant women with congenital heart disease <28W termination of pregnancy than non-Yuyao household pregnancy mother. Conclusion The incidence of congenital heart disease in Yuyao increased year by year, and the vast majority of fatal deformities. Good pre-pregnancy mission, prenatal care and antenatal care before pregnancy heart monitoring to reduce the incidence of congenital heart disease and its adverse prognosis, improve the quality of the population.