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| Analysis of the Screening Results of Congenital Heart Disease in Newborns in the Wuzhong District, Suzhou City from 2021 to 2024 |
| YAO Chenhua, SHI Qian |
| Department of Child Health Care, Wuzhong District Maternal and Child Health Care Institute, Suzhou Jiangsu 215100 |
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Abstract 【Objective】To analyze the screening situation of congenital heart disease (CHD) in neonates in Wuzhong District, Suzhou City from 2021 to 2024. 【Methods】A retrospective analysis was conducted on the relevant general data of 11,816 live newborns and their parturients registered in the Wuzhong District, Suzhou City from January 2021 to December 2024.The number of registered people, the number of screened people and the screening rate, the number of positive screening people and the initial screening positive rate, the number of people diagnosed by cardiac ultrasound and the diagnosis rate, the number of people diagnosed with CHD and the diagnosis rate, as well as the number of people who received surgical treatment and the treatment outcome were statistically analyzed.【Results】There was no statistically significant difference in the general data of neonates and parturients with CHD in the Wuzhong District, Suzhou City from 2021 to 2024 (P>0.05). A total of 11 816 newborns were registered during the four years, and 11 807 were actually screened, with a screening rate of 99.92%. During the period from 2021 to 2024, the screening rate remained basically unchanged, but the positive rate of the initial screening decreased somewhat, and the diagnosis rate of positive pre-existing heart disease in the initial screening increased significantly (P<0.05). The comparison of CHD classification of newborns in Wuzhong District, Suzhou City from 2021 to 2024 showed no statistically significant difference (P>0.05). Among the 105 children with CHD, 25 were cured, 3 underwent surgical treatment, 2 died, and the rest remained uncured by the end of the follow-up. 【Conclusion】The neonatal CHD screening work in Wuzhong District, Suzhou City remained at a high level during the period from 2021 to 2024. The positive rate of the initial screening decreased, while the diagnosis rate of positive CHD in the initial screening and the diagnosis rate by echocardiography remained stable.
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Received: 05 March 2025
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[1] CODY F, FRANKLIN O, MC CAY N, et al. Critical congenital heart disease: contemporary prenatal screening performance and outcomes in a multi-centre perinatology service[J].BMC Pregnancy Childbirth,2024, 24(1): 163.
[2] 张笃飞,陈仁伟,莫泽来,等. 心脏听诊和经皮脉搏血氧饱和度筛查海南省新生儿先天性心脏病的价值[J].中国妇幼保健,2022,37(4):724-727.
[3] 徐蓉,吴倩岚,邵琰,等. 苏州市新生儿先天性心脏病早期筛查模式应用[J].中国优生与遗传杂志,2023,31(4):818-821.
[4] 中华医学会儿科学分会心血管学组,中国医师协会儿科医师分会先天性心脏病专家委员会,《中华儿科杂志》编辑委员会. 胎儿先天性心脏病诊断及围产期管理专家共识[J].中华儿科杂志,2015,53(10):728-733.
[5] 陈茜茜,张湘云,王亚洲,等. 海南省新生儿先天性心脏病筛查体系的建设与应用[J].中华实用儿科临床杂志,2023,38(7):497-503.
[6] 杨斌,吴冬,赵芝芝. STIC-TUI技术在孕中期胎儿先天性心血管病中的诊断价值[J].医学临床研究,2023,40(6):827-829.
[7] 依力亚尔江·阿不拉,张国明,何丽芸,等. 婴儿经右腋下小切口治疗先天性心脏病的疗效分析[J].中国现代医学杂志,2024,34(1):16-21.
[8] 吕瑛,于丁,刘凌,等. ≤10 kg婴幼儿先天性心脏病的围手术期治疗[J].河北医科大学学报,2024,45(5):519-523.
[9] 陆天玮,胡晓静,张崇凡,等. 新生儿危重症先天性心脏病筛查的卫生经济学系统评价[J].中国循证儿科杂志,2022,17(3):195-201.
[10] 孔令婉,曹霞,黄翠敏,等. 2020年海南省新生儿先天性心脏病筛查结果分析[J].中国妇幼健康研究,2022,33(11):99.
[11] 黄滟云,李江锋,莫寿山,等. 11 366例新生儿先天性心脏病筛查和检出情况分析[J].广西医学,2022,44(14):1605-1609.
[12] 汪际英,顾洁,朱冬庆,等. 银川市新生儿先天性心脏病筛查管理体系的建立及应用研究[J].中国妇幼健康研究,2023,34(9):89-94.
[13] 车贝贝,郑旭彬,许厚琴,等. 上海市新生儿先天性心脏病筛查对报告发生率影响的中断时间序列分析[J].中华疾病控制杂志,2023,27(4):413-418.
[14] 冯丽,孟晓妹,冯蕊. 先天性心脏病患儿室间隔缺损修补术后疼痛的影响因素及护理对策[J].医学临床研究,2024,41(9):1455-1456.
[15] 胡晓静,王春宇. 新生儿先天性心脏病筛查技术的现状及智能化发展趋势[J].复旦学报(医学版),2022,49(1):107-113. |
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2025, Vol. 42 
