宁夏医科大学总医院患儿先天性心脏病发病情况与孕母孕中期超声检查的相关性研究
Study on the correlation between the incidence of congenital heart disease and ultrasound examination of pregnant women during the second trimester of pregnancy in the General Hospital of Ningxia Medical University
目的 探讨宁夏医科大学总医院收住的先天性心脏病(CHD)发病情况与孕母孕中期超声检查的相关性。方法 选取2015年10月~2018年10月本院收住的年龄在0-14周岁经心脏超声和/或手术确诊的CHD患儿为研究对象,进行回顾性分析;通过电话/短信等方式咨询孕母孕中期超声检查资料。 结果 孕母孕中期CHD超声检查的孕检率为90.82%,检出率为13.78%,检出准确率为66.67%;三级医院的CHD超声筛查检出率高于二级和其他医院(P <0.05);动脉导管未闭、房间隔缺损、室间隔缺损和肺动脉高压是患儿主要的CHD病理类型;而患儿单一类型CHD与两种及以上CHD的发病率基本一致。结论 宁夏地区孕妇孕中期CHD超声筛查水平与国内先进水平还有一定的距离,且其具有明显的医院级别差异性,应大力加强基层医疗机构孕妇孕中期CHD的筛查水平。
Objective:To explore the correlation between the incidence of congenital heart disease (CHD) admitted in the General Hospital of Ningxia Medical University and the ultrasound examination of pregnant women in the second trimester. Methods: From October 2015 to October 2018, CHD children aged 0-14 years old who were diagnosed by cardiac ultrasound and/or surgery were selected as the research subjects for retrospective analysis; consultation by telephone/SMS Ultrasound examination data of pregnant women in the second trimester. Results:The pregnancy detection rate of CHD ultrasound in the second trimester of pregnancy was 90.82%, the detection rate was 13.78%, and the detection accuracy rate was 66.67%; the detection rate of CHD ultrasound screening in tertiary hospitals was higher than that in secondary and other hospitals ( P <0.05); patent ductus arteriosus, atrial septal defect, ventricular septal defect, and pulmonary hypertension are the main pathological types of CHD in children; the single type of CHD in children is basically consistent with the incidence of two or more types of CHD. Conclusion:The level of CHD ultrasound screening for pregnant women in the second trimester of pregnancy in Ningxia is still far from the domestic advanced level, and it has obvious hospital level differences. Therefore, the screening level of pregnant women with CHD during the second trimester in primary medical institutions should be strengthened.
聂黎红、赵芳、田国林
儿科学医学研究方法预防医学
先天性心脏病孕中期超声儿童
ongenital Heart DiseasePregnancy testUltrasoundChildren
聂黎红,赵芳,田国林.宁夏医科大学总医院患儿先天性心脏病发病情况与孕母孕中期超声检查的相关性研究[EB/OL].(2020-09-04)[2025-08-16].http://www.paper.edu.cn/releasepaper/content/202009-12.点此复制
评论