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浙江省0 2岁儿童先天性心脏病患病率研究 |
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张泽峰 李 竹 季成叶 李 松 洪世欣 赵 平 王太梅 李万镇 马郁文
摘要：目的了解0～2岁儿童先天性心脏病(先心病)患病情况。方法 利用心脏听诊和超声检查相结合的方法，对浙江省嘉兴等13个市县0～2岁儿童进行了先心病患病率调查和病因分析。结果发现0～2岁儿童先心病患病率为3.72‰。不同年龄组间先心病患病率存在差异，0岁组最高，为5.54‰；1岁组次之，为3.36‰； 2岁组最低，为2.66‰。男女间先心病患病率没有差异。室间隔缺损比例最高，占59.4%。结论表明先心病属我国重要的公共卫生问题之一，开展出生儿先心病监测和病因研究，减少先心病发生，对提高儿童生命质量有重要的意义。
关键词：先天性心脏病 患病率 婴幼儿
Prevalence study of congenital heart disease in children aged 0-2 in Zhejiang province
ZHANG Zefeng*,LI Zhu,JI Chengye,et al.
National Center for Maternal and Infant Health, Beijing Medical University,Beijing 100083
Abstract Objective To find out the prevalence rate of Congenital Heart Disease (CHD) among infants and toddlers. Methods Heart auscultation and echocardiography examination on children aged 0-2 were examined in 13 cities (or counties) in Zhejing province. Results Findings showed that the prevalence rate in children aged 0-2 was 3.72‰. The prevalence rates of CHD were quite different among age groups with the highest (5.54‰) in age group 0, followed by 3.36‰ in age group 1 and lowest (2.66‰) in age group 2. No significant difference of prevalence rates was found between different sex. Ventricular septal defects (59.4%) was noticed as the most common lesion. Conclusion The evidence indicated that CHD is one of the most important problems of public health in China. Preventing its occurrence by conducting CHD surveillance and its etiologic research will have great significance for enhancing the qualities of life of children.
Key words Congenital heart disease Prevalence rate Infant and toddler
先天性心脏病(先心病)是指心脏或大血管大体的结构异常，对心功能产生了实际或潜在影响的一组出生缺陷［1］。先心病种类繁多，是人类发生率最高的一组出生缺陷，已成为危害我国儿童身心健康、降低整个人群生活质量的重要公共卫生问题之一，给社会和家庭造成严重的经济、精神等的负担。为了解我国先心病患病的严重程度，我们于1997年6月在浙江省嘉兴、宁波、舟山地区开展了0～2岁儿童先心病普查，目的是了解先心病的患病情况及特点，为进行先心病病
因研究提供资料。
对象与方法
一、研究对象：选取浙江省嘉兴市的嘉兴城区、嘉兴郊区、嘉善县、海宁市、桐乡市、平湖市[1] [2] 下一页
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