CAJ | 학술논문

目的：分析并探讨汕尾市海丰县新生儿先天性心脏病的发病因素，为预防先天性心脏病的发生提供参考依据。方法选取2012年6月至2014年12月我院加入广东省心脏缺陷监测网后在我院诊断出的87例先天性心脏病缺陷儿作为观察组研究对象，并选取同期出生的87例健康新生儿进行对照研究。对产妇的情况、缺陷儿／配对儿情况、孕前3个月的父母情况、家族疾病史、产妇疾病史进行观察对比，并对先天性心脏病缺陷儿进行随访，动态观察其先天性心脏缺陷的发生情况和可疑因素。结果在孕产妇居住环境、家族疾病史、父亲情况方面，观察组新生儿与对照组新生儿存在显著的差异（ P＜0．05）。结论先天性心脏病的发病因素可能为孕产妇的居住环境、产妇或家族具有先天性心脏病史、父亲具有饮酒史等。在孕期对胎儿进行监测，督促产妇及其家属进行有规律的作息，养成良好的生活习惯，并改善居住环境，能够预防新生儿先天性心脏病的发生。
목적：분석병탐토산미시해봉현신생인선천성심장병적발병인소，위예방선천성심장병적발생제공삼고의거。방법선취2012년6월지2014년12월아원가입광동성심장결함감측망후재아원진단출적87례선천성심장병결함인작위관찰조연구대상，병선취동기출생적87례건강신생인진행대조연구。대산부적정황、결함인／배대인정황、잉전3개월적부모정황、가족질병사、산부질병사진행관찰대비，병대선천성심장병결함인진행수방，동태관찰기선천성심장결함적발생정황화가의인소。결과재잉산부거주배경、가족질병사、부친정황방면，관찰조신생인여대조조신생인존재현저적차이（ P＜0．05）。결론선천성심장병적발병인소가능위잉산부적거주배경、산부혹가족구유선천성심장병사、부친구유음주사등。재잉기대태인진행감측，독촉산부급기가속진행유규률적작식，양성량호적생활습관，병개선거주배경，능구예방신생인선천성심장병적발생。
Objective To analyze and discuss the risk factors of neonatal congenital heart disease in Haifeng County of Shanwei City , and to provide reference for the prevention of congenital heart disease .Methods From June 2012~December2014 in our hospital with Guangdong Province heart defects monitoring network as the research object in the observation group were diagnosed in our hospital 87 cases of congenital heart disease defects in children , and selected87 health newborns born in the same period were investigated .The situation of maternal, defects /match situation, 3 months before pregnancy , early maternal disease history , family history of the disease were observed , and were followed up for congenital heart disease with defects , the incidence and the risk factors and dynamic observation of the congenital heart defects .Results In the pregnant women living environment, family history, father's side, there was a significant difference in observation group and the control group of neonatal ( P<0.05).Conclusions Congenital heart disease risk factors for maternal , maternal and family living environment have a congenital heart disease , father with drinking history .Monitoring of the fetus during pregnancy , maternal and their families to have regular work and rest , to develop good habits , and improve the living environment , can prevent the occurrence of neonatal congenital heart disease .