宁波市北仑区婴儿先天性心脏病监测结果分析

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目的了解浙江省宁波市北仑区婴儿先天性心脏病(CHD)患病情况及其影响因素。方法主要采用心脏听诊和超声检查相结合的方法,对北仑区内2008—2010年出生的本地和外地户籍11 317名婴儿的CHD患病情况进行监测。结果婴儿CHD患病率为10.78‰,本地户籍婴儿患病率为7.63‰,外地户籍婴儿患病率为13.76‰;CHD类型构成前3位为房间隔缺损、室间隔缺损、房间隔缺损合并动脉导管未闭;68.85%CHD婴儿在新生儿期确诊,35.24%在1岁内有自行闭合现象,10.17%在1岁内死亡,36.89%曾合并新生儿疾病,9.84%伴有心外畸形;早产儿、低出生体重儿和母亲高龄生育、文化程度低、职业为家务者婴儿患病率较高。结论本地户籍婴儿CHD患病率有上升趋势,外地户籍婴儿CHD患病率高于本地人口婴儿。 Objective To investigate the prevalence and influencing factors of infant congenital heart disease (CHD) in Beilun District, Ningbo City, Zhejiang Province. METHODS: The prevalence of CHD in 11 317 infants born in Beilun district from 2008 to 2010 was monitored by auscultation of auscultation and ultrasonography. Results The prevalence of CHD in infants was 10.78 ‰. The prevalence of infants with local census was 7.63 ‰ and that of infants with census farms was 13.76 ‰. The top three CHD types included atrial septal defect, ventricular septal defect and atrial septal defect with arterial occlusion 68.85% of CHD infants were diagnosed during the neonatal period, 35.24% of them were closed within 1 year of age, 10.17% died within 1 year, 36.89% had newborns disease, and 9.84% had extracardiac malformations. Premature infants , Low birth weight children and mothers of older children, with a low level of education, occupations as a household child prevalence rate is higher. Conclusion The prevalence of CHD in local registered infants is on the rise. The prevalence of CHD in infants from other cities is higher than that of local infants.
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