2009-2015年北京市朝阳区儿童神经心理发育监测状况分析

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目的掌握北京市朝阳区儿童神经心理发育监测情况,寻找工作薄弱环节,为进一步提高工作质量提供依据。方法收集2009-2015年北京市朝阳区儿童神经心理发育监测年报数据及儿童神经心理发育监测异常儿童转诊个案信息。结果2009-2015年儿童神经心理监测覆盖率为63.86%,筛查儿童数及覆盖率逐年大幅提高,达到85%的北京市工作指标要求;城区与农村单位监测情况差异逐年缩小,由2009年相差32.82%降低至2015年相差3.41%。2009-2015年共筛查出阳性儿童1 306例,确诊儿童196例,筛查阳性率0.82%,发育迟缓患病率1.23‰;筛查阳性率及发育迟缓患病率呈下降趋势,且城区与农村存在统计学差异(P<0.05)。结论朝阳区儿童神经心理发育监测覆盖率大幅度提升,城区、农村监测覆盖率差异大幅缩小,但监测质量随着监测儿童数量的升高随之降低。进一步增加专业管理人员数量,加强质量管理将成为近年来的工作重点及难点。 Objective To master the monitoring of neuropsychological development of children in Chaoyang District of Beijing and find out the weak links in work so as to provide the basis for further improving the quality of work. Methods The data of annual monitoring reports of children’s neuropsychological development in Chaoyang District of Beijing during 2009-2015 and the referral cases of children with neuropsychological development monitoring were collected. Results The coverage rate of neuropsychological monitoring in children from 2009 to 2015 was 63.86%. The number of children under screening and coverage rate increased significantly year by year, reaching 85% of Beijing’s work index. The difference of monitoring between urban and rural areas decreased year by year, from 2009 to 2009 32.82% decrease from 2015 to 3.41%. A total of 1 306 positive children and 196 confirmed children were screened from 2009 to 2015. The positive rate of screening was 0.82% and the prevalence of stunting was 1.23 ‰. The positive rate of screening and the prevalence of stunting decreased, There was statistical difference with rural (P <0.05). Conclusion The monitoring coverage of neuropsychological development in children in Chaoyang District increased significantly. The difference of monitoring coverage in urban areas and rural areas drastically decreased. However, the quality of monitoring decreased with the increase of monitoring children. Further increasing the number of professional managers and strengthening quality management will become the focus and difficulty in recent years.
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