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2006～2008年间分娩的活产儿、死胎、死产和治疗性引产儿,进行先心病相关因素分析。结果:3年间共分娩38282例,发现先心病193例,35岁以上高龄孕妇胎儿先心病发生率明显增加。经过系统产检者诊断孕周为(26.86±5.32)周,较未系统产检者明显提前。合并胎儿发育受限、单脐动脉、染色体异常、其他器官发育异常者胎儿先心病发生率也较其他组明显增加。结论:孕前宣教先心病知识,孕期系统产检,特别对有高危因素的孕妇加强监测,必要时行胎儿超声心动图检查,做到早期筛查、诊断及干预,以减少先心病的发生及其不良预后,提高人口素质。
Objective: To explore the trend of fetus congenital heart disease (CHD), risk factors and prenatal diagnosis, providing the basis for early screening, diagnosis and prevention. Methods: Selected live births, stillbirths, stillbirths and therapeutic induced labor during 2006 ~ 2008, and analyzed the related factors of CHD. Results: A total of 38282 cases were delivered during the three years. 193 cases of congenital heart disease were found. The incidence of fetal congenital heart disease was significantly increased in pregnant women over 35 years of age. After systematic examination of gestational age diagnosed as (26.86 ± 5.32) weeks, compared with the system was not significantly advanced. Combined fetal development, single umbilical artery, chromosomal abnormalities, other organ dysplasia, fetal congenital heart disease incidence was significantly higher than the other groups. Conclusion: Pre-pregnancy knowledge of congenital heart disease, prenatal care system, especially for pregnant women with high risk factors to strengthen monitoring, if necessary, fetal echocardiography, early screening, diagnosis and intervention in order to reduce the incidence of congenital heart disease and its adverse Prognosis, improve the quality of the population.