Volume 43 Issue 11
Nov.  2022
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FANG Jiayu, DUO Lin, FU Hongchen, YANG Qinghuan, MA Min, WANG Huadan, PANG Linhong, HE Liping. Prevalence and associated factors of congenital heart disease among nursery, primary and middle school students in Zhaotong[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(11): 1733-1736. doi: 10.16835/j.cnki.1000-9817.2022.11.032
Citation: FANG Jiayu, DUO Lin, FU Hongchen, YANG Qinghuan, MA Min, WANG Huadan, PANG Linhong, HE Liping. Prevalence and associated factors of congenital heart disease among nursery, primary and middle school students in Zhaotong[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(11): 1733-1736. doi: 10.16835/j.cnki.1000-9817.2022.11.032

Prevalence and associated factors of congenital heart disease among nursery, primary and middle school students in Zhaotong

doi: 10.16835/j.cnki.1000-9817.2022.11.032
  • Received Date: 2022-04-18
  • Rev Recd Date: 2022-08-25
  • Available Online: 2022-11-30
  • Publish Date: 2022-11-25
  •   Objective  To investigate the prevalence and associated factors of congenital heart defects (CHD) among nursery, primary, and middle school students in Zhaotong, and to provide basis for CHD prevention strategies for children and adolescents.  Methods  Using stratified random cluster sampling, a total of 11 343 nursery, primary and middle school students in 4 towns of Zhaotong were investigated with CHD screening and questionnaire during September to November in 2020.  Results  The prevalence of CHD among nursery, primary and middle school students in Zhaotong was 11.99‰(95%CI=9.99‰-13.99‰), Yongshan County (14.90‰) > Yanjin County (10.22‰), rural (13.30‰) > urban (8.21‰)(χ2=4.95, 4.77, P < 0.05). Among 136 cases of CHD, the Ventricular Septal Defect (VSD) accounted the highest proportion (41.2%), followed by Atrial Septal Defect (ASD, 32.4%), Patent Ductus Arteriosus (PDA, 14.0%), and Complex Congenital Heart Disease (CCHD, 5.9%) and the other CHD (others, 6.6%). The proportion of late diagnosed CHD was 50.74%, which was associated with living in rural areas of Yongshan County, low annual household income (10 000- < 20 000 yuan), as well as isolated and uncomplicated CHD(OR=0.30, 0.13, 3.67, 0.17, P < 0.05).  Conclusion  Nursery, primary and middle schools students have the characteristics of high prevalence rate of CHD, large proportion of complex congenital heart disease, large number of late diagnosis and complex influencing factors in Zhaotong. It's in urgent need of strengthening learning prevention of CHD.
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  • [1]
    胡盛寿, 陈义汉, 高润霖, 等. 中国心血管健康与疾病报告2019[M]. 北京: 科学出版社, 2020: 196-201.

    HU S S, CHEN Y H, GAO R L, et al. Annual report on cardiovascular health and diseases in China 2019[M]. Beijing: Science Press, 2020: 196-201. (in Chinese)
    [2]
    宋宏琳, 卢江, 周汝芳, 等. 中国五省中小学生社区筛查先心病患病率与海拔及民族关系[J]. 中国公共卫生, 2021, 37(10): 1514-1516. doi: 10.11847/zgggws1130055

    SONG H L, LU J, ZHOU R F, et al. Associations of altitude and ethnic groups with congenital heart disease prevalence in primary and secondary school students in five provinces of China: a screening data analysis[J]. Chin J Public Health, 2021, 37(10): 1514-1516. (in Chinese) doi: 10.11847/zgggws1130055
    [3]
    韩此林, 蒋立虹, 侯宗柳, 等. 云南省不同地区3~18岁人群先天性心脏病流行病学特征调查[J]. 昆明医科大学学报, 2017, 38(8): 30-34. https://www.cnki.com.cn/Article/CJFDTOTAL-KMYX201708007.htm

    HAN C L, JIANG L H, HOU Z L, et al. Epidemic characteristics of congenital heart disease of adolescents between 3 to 18 ages among different regions in Yunnan[J]. J Kunming Med Univ, 2017, 38(8): 30-34. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-KMYX201708007.htm
    [4]
    滕云, 黄冰鑫, 陈寄梅. 胎儿先天性心脏病的治疗现状和研究进展[J]. 中华胸心血管外科杂志, 2021, 37(7): 443-446. doi: 10.3760/cma.j.cn112434-20200803-00359

    TENG Y, HUANG B X, CHEN J M. Current situation of treatment and research progress of fetal congenital heart disease[J]. Chin J Thoracic Cardiovasc Surg, 2021, 37(7): 443-446. (in Chinese) doi: 10.3760/cma.j.cn112434-20200803-00359
    [5]
    李博宁, 刘琮, 张智伟. 小儿先天性心脏病介入治疗进展[J]. 中华实用儿科临床杂志, 2020, 35(1): 19-23. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201606002.htm

    LI B N, LIU C, ZHANG Z W. Progress in interventional treatment of children with congenital heart disease[J]. Chin J Appl Clin Pediatr, 2020, 35(1): 19-23. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201606002.htm
    [6]
    MURNI I K, WIRAWAN M T, PATMASARI L, et al. Delayed diagnosis in children with congenital heart disease: a mixed-method study[J]. BMC Pediatr, 2021, 21(1): 191. doi: 10.1186/s12887-021-02667-3
    [7]
    潘湘斌, 卢江, 李亚明, 等. 社区儿童先天性心脏病筛查手册[M]. 昆明: 云南科技出版社, 2021: 42-47.

    PAN X B, LU J, LI Y M, et al. Community childhood congenital heart disease screening manual[M]. Kunming: Yunnan Science and Technology Press, 2021: 42-47. (in Chinese)
    [8]
    国家卫生计生委妇幼健康服务司, 全国妇幼卫生监测办公室, 全国妇幼卫生年报办公室. 全国妇幼卫生监测及年报通讯[R]. 北京, 2013.

    Department of Maternal and Child Health Services of the PRC, Office of National Maternal and Child Health Surveillance of the PRC, Office of National Maternal and Child Health Annual Report of the PRC. National maternal and child health surveillance and annual report newsletter[R]. Beijing, 2013. (in Chinese)
    [9]
    沙金叶, 刘文源, 邹明宇. 基于双低CT扫描技术的儿童复杂先天性心脏病混合现实建模的可行性[J]. 中国医科大学学报, 2022, 51(10): 884-888. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYK202210004.htm

    SHA J Y, LIU W Y, ZOU M Y. Feasibility of mixed reality modeling of complex congenital heart disease in children using the double-low computed tomography scanning technology[J]. J China Med Univ, 2022, 51(10): 884-888. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYK202210004.htm
    [10]
    LINDE D, KONINGS E E, SLAGER M A, et al. Birth prevalence of congenital heart disease worldwide: a systematic review and Meta-analysis[J]. J Am Coll Cardiol, 2011, 58(21): 2241-2247.
    [11]
    VILLASECA-ROJAS Y, VARELA-MELO J, TORRES-CASTRO R, et al. Exercise capacity in children and adolescents with congenital heart disease: a systematic review and Meta-analysis[J]. Front Cardiovasc Med, 2022, 9: 874700.
    [12]
    何清, 杨义, 蒋亮, 等. 遵义地区新生儿先天性心脏病的影响因素研究及患病风险预测[J]. 中国卫生统计, 2021, 38(3): 422-424. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWT202103027.htm

    HE Q, YANG Y, JIANG L, et al. Study on the influencing factors and risk prediction of neonatal congenital heart disease in Zunyi Area[J]. Chin J Health Stat, 2021, 38(3): 422-424. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWT202103027.htm
    [13]
    王旭, 卢晓峰, 张朋宾, 等. 先天性心脏病与高原地区低氧环境相关性的研究进展[J]. 实用临床医药杂志, 2021, 41(11): 109-113. https://www.cnki.com.cn/Article/CJFDTOTAL-XYZL202111027.htm

    WANG X, LU X F, ZHANG P B, et al. Research progress on correlation between congenital heart disease and hypoxia environment in plateau area[J]. J Clin Med Pract, 2021, 41(11): 109-113. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XYZL202111027.htm
    [14]
    CHUN H, YUE Y, WANG Y B, et al. High prevalence of congenital heart disease at high altitudes in Tibet[J]. Eur J Prev Cardiol, 2019, 26(7): 756-759.
    [15]
    张兴, 苏忠剑, 刘洪玉, 等. 不同高原海拔地区动脉导管未闭儿童肺动脉压力特点[J]. 临床儿科杂志, 2021, 39(1): 22-25. https://www.cnki.com.cn/Article/CJFDTOTAL-LCAK202101009.htm

    ZHANG X, SU Z J, LIU H Y, et al. Evaluation of the characteristics of pulmonary artery pressure in children with patent ductus arteriosus at different altitudes[J]. J Clin Pediatr, 2021, 39(1): 22-25. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-LCAK202101009.htm
    [16]
    李振, 叶青, 何彪华, 等. 2015年至2016年云南昭通地区3个县儿童和青少年先天性心脏病流行病学调查[J]. 昆明医科大学学报, 2018, 39(3): 77-80. https://www.cnki.com.cn/Article/CJFDTOTAL-KMYX201803015.htm

    LI Z, YE Q, HE B H, et al. Epidemiological investigation on children and teenagers with congenital heart disease in three counties in Zhaotong area from 2015 to 2016[J]. J Kunming Med Univ, 2018, 39(3): 77-80. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-KMYX201803015.htm
    [17]
    景涛, 仝识非, 郭艳丽, 等. 重庆市石柱县12 014名少年儿童先天性心脏病患病率的普查[J]. 重庆医学, 2012, 41(5): 472-473, 476. https://www.cnki.com.cn/Article/CJFDTOTAL-CQYX201205022.htm

    JING T, TONG S F, GUO Y L, et al. Congenital heart disease prevalence survey of 12 014 children in Chongqing Shizhu County[J]. Chongqing Med, 2012, 41(5): 472-473, 476. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-CQYX201205022.htm
    [18]
    CHANG R K, GURVITZ M, RODRIGUEZ S. Missed diagnosis of critical congenital heart disease[J]. Arch Pediatr Adolesc Med, 2008, 162(10): 969-974.
    [19]
    肖罗茜. 中国西部社区先心病患儿确诊延迟现状及相关影响因素分析研究[D]. 昆明: 昆明医科大学, 2021.

    XIAO L X. An analysis of delayed diagnosis status and related influencing factors in children with congenital heart disease in western China[D]. Kunming: Kunming Medical University, 2021. (in Chinese)
    [20]
    张婷. 黔北地区儿童先心病就医延迟及其术后生存质量现状及影响因素研究[D]. 遵义: 遵义医科大学, 2021.

    ZHANG T. Study on the delay of medical treatment and the quality of life in children with congenital heart disease in Northern Guizhou and its influencing factors[D]. Zunyi: Zunyi Medical University, 2021. (in Chinese)
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