摘要
目的调查四川省凉山州在校学生先天性心脏病（先心病）患病情况并分析其患病影响冈素。方法分层整群抽样，收集人口统计学资料，用心脏听诊进行先心病初筛，心脏彩色多普勒超声进行先心病确诊。结果共调查10021名在校学生，心脏听诊共发现19．74％有心脏杂音。心脏彩色多普勒超声确诊的先心病共68例，患病率为0．68％。房间隔缺损、动脉导管未闭和室间隔缺损位居前3位。先心病患者家庭收入低于非先心病家庭（350元比500元，P=0．005），彝族先心病患病率为0．82％（59／7202），高于非彝族在校学生患病率0．33％（9／2751）。未发现不同类型先心病在年龄、性别、身高、体重、体重指数、头围、腰围差异有统计学意义。结论凉山州在校学生先心病患病率仍处于全国较高水平，先心病筛查仍需得到关注。
Objective To investigate the congenital heart disease （CHD） prevalence of students in Liangshan prefecture in Sichuan province, and to explore the risk factors of CHD. Methods Stratified cluster sampling was conducted in collecting demographic data. Heart auscultation was used to screening the CHD, and colour Doppler flow imaging was used to diagnose the CHD. Results A total of 10 021 student were collected in this study. About 19. 74% of total cases had cardiac murmur. Sixty-eight students were diagnosed as CHD through colour Doppler flow imaging, accounting for 0.68%. In addition, the top three ranks of CHD were atrial septal defect, patent ductus arteriosus, interventricular septal defect. Our study also found that per capita income of CHD families was lower than non-CHD families, meanwhile, the CHD prevalence of Yi nationality was higher than other nationalities. There was no statistical significance in age, gender, height, weight, body mass index, head circumference, waist circumference between different types of CHD. Conclusions The CHD prevalence of students in Liangshan prefecture has been in a high level in China; therefore we need pay more attention on screening for the CHD.
出处
《中华内科杂志》
CAS
CSCD
北大核心
2013年第6期494-497,共4页
Chinese Journal of Internal Medicine
基金
四川省卫生厅科研课题（090184）
关键词
心脏缺损
先天性
患病率
流行病学
凉山州
Heart defects, congenital
Prevalence
Epidemiology
Liangshan prefecture
