中国胸心血管外科临床杂志

中国胸心血管外科临床杂志

攀枝花市 3~14 岁儿童先天性心脏病未治疗原因调查

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目的 通过对攀枝花市 3~14 岁儿童先天性心脏病(先心病)未治疗原因调查,为下一步制定干预措施提供依据。 方法 我院先心病筛查小组对 2015 年 3 月至 2017 年 12 月攀枝花市 3~14 岁儿童先天性心脏未治疗原因进行调查、分析、统计。 结果 148 例未治疗先心病中,筛查前发现患先心病或有心脏杂音共 82 例,其中家长认为治疗费用高 59 例(71.95%),认为患儿没有症状、没有必要治疗 42 例(53.84%),医生建议观察 13 例(15.85%);本次筛查首次发现患有先心病 66 例,平均年龄(7.11+1.23)岁,农村人口中 44 例(81.82%)明显高于城市人口(12 例,18.18%,P<0.01),病种排位第一是房间隔缺损,出生后未定期参加儿保的 45 例(68.18%)。 结论 攀枝花市儿童先心病未治疗的家庭多数认为治疗费用高且没有治疗必要,多数未规范参加儿童保健,病种排位第一是房间隔缺损;免费筛查及治疗先心病在攀枝花地区意义重大。

Objective Though investigating the causes of untreated congenital heart disease among children aged 3–14 years in Panzhihua City, to provide the basis for formulating intervention measures in the next step. Methods Of 148 untreated congenital heart diseases, 82 were found to have congenital heart disease or heart murmur before screening, Among them, 59 parents (71.95%) thought that hospitalization was expensive, 42 parents (53.84%) thought that their children were asymptomatic and did not need treatment. Doctors suggested that 13 children (15.85%) be observed. Sixty-six patients of congenital heart disease were found for the first time in this screening, with an average age of 7.11±1.23 years; patients in the rural population (n=44, 81.82%) were significantly more than patients in the urban (n=12, 18.18%, P<0.01). Atrial septal defect (ASD) ranks first among the diseases, and 45(68.18%) children from families did not regularly participate in child health care after birth. Conclusion Most families with untreated congenital heart disease in Panzhihua city think that the cost of treatment is high and there is no need for treatment. And most of them do not participate in child health care regularly. ASD ranks first among the diseases, and free screening and treatment of congenital heart disease is of great significance in Panzhihua City.

关键词: 儿童; 先天性心脏病; 未治疗; 调查

Key words: Children; congenital heart disease; untreated; investigation

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