西南国防医药Issue(11)：1274-1276,3.DOI:10.3969/j.issn.1004-0188.2014.11.054
邵阳地区3~14岁儿童先心病流行病学调查
Epidemiological investigation on children of 3-14 years old with congenital heart disease in Shaoyang area
摘要
Abstract
Objective To make epidemiological investigation on the children of 3-14 years old with congenital heart disease from Sep. of 2011 to Sep. of 2013 in Shaoyang area. Methods Total 158 291 children of 3-14 years old from kindergardens,primary schools and GradeⅠtoⅡof Junior Middle School in Shaoyang area were selected through primary screening,secondary screening,and color Doppler examination for diagnosis,totally three stages for investigation. The indexes of prevalence rate of congenital heart disease, the distribution of the disease,and gender of the patients in nine counties and three districts in the area were statistically analyzed,and the cause of disease was investigated. Results 208 patients were diagnosed with congenital heart disease. The total prevalence rate was 1. 31‰,in which the male accounted for 1. 12‰ and the female accounted for 1. 57‰(χ2 =5. 970,P<0. 0s5). In the nine districts and three counties,the prevalence rates of congenital heart disease in Xinning County,Suining County,and Chengbu Miao Autonomous Region were 2. 31‰,2. 29‰,and 2. 50‰,respectively,significantly higher than those in other counties,and the incidence rates in different counties had statistically difference. In terms of the constituents of the disease,ventricular septal defect accounted for the first (54. 32%),followed by atrial septal defect(19. 71%)and patent ductus arteriosus(14. 42%). In terms of related disclosure factors of the mothers during pregnancy,multivariate conditional logistic regression model analysis was made and it was found that the major risk factors of congenital heart disease included virus infection within three months of the pregnancy,threatened abortion,and elderly pregnancy. Conclusion The prevalence rates of congenital heart disease in Xinning County,Suining County,and Chengbu Miao Autonomous Region in Shaoyang area were significantly higher than those in other counties,and the incidence rate of females is higher than males;the congenital heart disease in the area mainly includes ventricular septal defect and atrial septal defect. The major risk factors of congenital heart disease include virus infection within three months of the pregnancy,threatened abortion,and elderly pregnancy. Therefore,the education of health care during pregnancy should be strengthened,and pregnant women should avoid exposure to risk factors as possible.关键词
邵阳/先天性心脏病/流行病学调查/患病率Key words
Shaoyang/congenital heart disease/epidemiological investigation/prevalence rate分类
医药卫生引用本文复制引用
欧阳泽伟,刘鹏,贺琳,罗参香,石向江,曾朝晖..邵阳地区3~14岁儿童先心病流行病学调查[J].西南国防医药,2014,(11):1274-1276,3.基金项目
邵阳市科技项目 （）
