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三都水族自治县3~14岁儿童先天性心脏病患病情况调查

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目的:了解贵州省三都水族自治县3~14岁在校儿童先天性心脏病(CHD)的患病情况.方法:对贵州省三都水族自治县44 739名3~14岁幼儿园和小学儿童进行CHD患病情况调查,按照入校初筛、集中进行心脏彩超确诊的筛查方式进行普查.结果:三都水族自治县3~14岁在校儿童共检出CHD患儿109例,总体患病率为2.44‰;女性为2.34‰,男性为2.51%e,男女儿童患病率无差异(x2=0.133,P=0.716);水族、布依族、苗族、汉族的患病率分别为 2.27‰、3.46‰、2.58‰、1.64‰,各民族患病率无差异(x2=4.747,P=0.314);3~7 岁、8~10、11~14 岁组的患病率为4.72‰、1.70‰、1.65%o,3~7岁组患病率最高(x2=12.561,P=0.002);病种构成比顺位排序依次为:室间隔缺损41例(37.61%),房间隔缺损26例(23.85%),动脉导管未闭45例(12.84%),共存两种以上畸形8例(7.34%),肺动脉瓣狭窄8例(7.34%),法洛氏四联症5例(4.59%),卵圆孔未闭5例(4.59%),主动脉瓣狭窄2例(1.84%).结论:贵州省三都水族自治县3~14岁在校学生CHD患病率2.44‰,复杂先心病和多种畸形患儿较多,防控工作需要加强.
Investigation of Congenital Heart Disease Prevalence among 3 to 14-Year-Old Children in Sandu Shui Autonomous County,Guizhou Province
Objective:To investigate the prevalence of congenital heart disease(CHD)among 3 to 14-year-old school children in Sandu Shui Autonomous County,Guizhou Province.Methods:A total of 44,739 children aged 3 to 14 years from kin-dergartens and primary schools in Sandu Shui Autonomous County were surveyed.The screening process involved an initial on-site preliminary examination followed by centralized confirmatory diagnosis using echocardiography.Results:Among the surveyed children,109 cases of CHD were identified,resulting in an overall prevalence rate of 2.44‰.The prevalence rates for female and male children were 2.34‰ and 2.51‰,respectively,with no significant difference be-tween genders(x2=0.133,P=0.716).The prevalence rates for the Shui,Bouyei,Miao,and Han ethnic groups were 2.27‰,3.46‰,2.58‰,and 1.64‰,respectively,with no significant differences across ethnic-ities(x2=4.747,P=0.314).The prevalence rates for the age groups 3-7 years,8-10 years,and 11-14 years were 4.72‰,1.70‰,and 1.65‰,respectively,with the highest prevalence observed in the 3-7 years group(x2=12.561,P=0.002).The types of CHD were ranked as follows:ventricular septal defect(41 cases,37.61%),atrial septal defect(26 cases,23.85%),patent ductus arteriosus(45 cases,12.84%),multiple malformations(8 cases,7.34%),pulmonary valve stenosis(8 cases,7.34%),tetralogy of Fallot(5 cases,4.59%),patent foramen ovale(5 cases,4.59%),and aortic valve stenosis(2 cases,1.84%).Conclusion:The prevalence of CHD among 3 to 14-year-old school children in Sandu Shui Autonomous County is 2.44‰,with a notable presence of complex congenital heart diseases and multiple malformations.Strengthened prevention and control measures are needed.

Congenital Heart DiseaseChildrenPrevalenceSurveyShui Ethnic Group

徐鸿鸣、陈玲玲、罗胜钗、黄泽萍

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三都县人民医院,贵州三都 558100

地方病与少数民族疾病教育部重点实验室/贵州医科大学,贵州 贵阳 550004

贵定县中医医院,贵州 贵定 551300

先天性心脏病 儿童 患病情况 调查 水族

2024

黔南民族医专学报
黔南民族医学高等专科学校

黔南民族医专学报

影响因子:0.235
ISSN:1008-4983
年,卷(期):2024.37(4)