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目的:分析总结北京市朝阳区2009~2012年47 784例儿童神经心理发育监测情况。方法:所有北京市朝阳区0~1岁保健儿童均按照《北京市散居儿童保健工作常规》要求采用丹佛发育筛查法(DDST)监测。结果:2009~2012年共监测0~1岁儿童47 784例,覆盖率38.86%,覆盖率逐年提高;城区单位监测覆盖率54.60%,农村单位监测覆盖率21.61%;2009~2012年共筛查出阳性儿童613例,确诊儿童73例,筛查阳性率1.28%,发育迟缓患病率1.53‰。结论:北京市朝阳区儿童神经心理发育监测覆盖率较低;农村社区监测覆盖率明显低于城区水平;发育迟缓患病率较低,应加强管理,提高监测覆盖率及监测质量。
Objective: To analyze and summarize the neuropsychological monitoring of 47 784 children from 2009 to 2012 in Chaoyang District of Beijing. Methods: All children aged 0 ~ 1 in Chaoyang District, Beijing were monitored by the Denver Developmental Screening Test (DDST) according to the requirements of “Beijing Diaspora Health Work Convention”. Results: A total of 47 784 children aged 0-1 years were monitored during 2009 ~ 2012, covering a rate of 38.86%. The coverage rate increased year by year. The monitoring coverage rate of urban units was 54.60% and the monitoring coverage rate of rural units was 21.61%. From 2009 to 2012, 613 positive children, 73 confirmed children, screening positive rate of 1.28%, the prevalence of stunting was 1.53 ‰. Conclusion: The coverage rate of neuropsychological development in children in Chaoyang District of Beijing is relatively low. The coverage of monitoring in rural communities is obviously lower than that in urban areas. The prevalence of stunting is relatively low and management should be strengthened to improve monitoring coverage and monitoring quality.