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目的对怀柔区近三年围产儿先天性心脏病的监测数据进行分析,了解怀柔区先天性心脏病的发生情况。方法运用描述性统计学方法进行回顾性分析。结果近三年怀柔区先天性心脏病发生率27.92‰,2011年至2013年先天性心脏病的构成比逐年升高,2011年先心病占缺陷总数的34.85%,2013年占到79.78%,在怀柔区各类先天性心脏病中,排在首位的为动脉导管未闭,其次为肺动脉高压合并三尖瓣返流、室间隔缺损、房间隔缺损、卵圆孔未闭合并二尖瓣返流及右室双出口发育不良。结论怀柔区先天性心脏病发生率呈上升趋势,非户籍人口增加明显;怀柔区个别医疗机构存在先心病过度诊断,应加强培训和质控力度,避免过度医疗。
Objective To analyze the monitoring data of congenital heart disease in the past three years in Huairou district to understand the occurrence of congenital heart disease in Huairou district. Methods Descriptive statistics were used for retrospective analysis. Results The incidence of congenital heart disease in Huairou District in the recent three years was 27.92%. From 2011 to 2013, the proportion of congenital heart disease increased year by year. In 2011, congenital heart disease accounted for 34.85% of the total number of defects and 79.78% in 2013. Huairou District, all kinds of congenital heart disease, the first in patent ductus arteriosus, followed by pulmonary hypertension with tricuspid regurgitation, ventricular septal defect, atrial septal defect, patent foramen ovale and mitral regurgitation Right ventricular outlet and double dysplasia. Conclusions The incidence of congenital heart disease in Huairou District is on an upward trend, with a significant increase in non-household population. Individual medical institutions in Huairou District have over-diagnosis of congenital heart disease, and training and quality control should be strengthened to avoid over-medical care.