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目的了解长丰县0~6岁儿童先天性心脏病(先心病)发生情况,为长丰县今后筛查工作重点及制定相关干预措施提供依据。方法使用Excel表和卡方检验对2014年3000名0~6岁儿童先天性心脏病筛查初诊、复诊和确诊资料进行整理和分析。结果共有198名初筛阳性儿童,初筛阳性率为6.60%,共计102人复筛确诊,确诊阳性率为3.40%,可疑阳性确诊率51.52%;确诊顺位前三位的疾病为卵圆孔未闭(PFO),占确诊人数的47.06%、房间隔缺损(ASD)占19.61%、房水平左向右分流占12.75%;初、复诊一致率为58.02%。结论长丰县开展先心病筛查是有必要的,提倡科学孕育和加强婚前医学保健、孕前宣教对预防先心病发生有重要指导意义。
Objective To understand the incidence of congenital heart disease (CHD) in children aged 0 ~ 6 years in Changfeng County, and to provide the basis for the future screening work in Changfeng County and the related interventions. Methods Using Excel and chi-square test, the data of initial diagnosis, referral and diagnosis of congenital heart disease among 3000 children aged 0 ~ 6 years were collected and analyzed in 2014. Results A total of 198 primary screening positive children, the positive rate of primary screening was 6.60%, a total of 102 people were screened, the positive rate was 3.40%, the suspicious positive diagnosis rate was 51.52%; confirmed the top three diseases were foramen ovale (PFO) accounted for 47.06% of the confirmed cases, ASD accounted for 19.61%, room left-right shunt accounted for 12.75%; Conclusion Changfeng County to carry out screening of congenital heart disease is necessary to promote science to conceive and strengthen premarital health care, pre-pregnancy mission to prevent the occurrence of congenital heart disease has an important guiding significance.