重庆医学
重慶醫學
중경의학
Chongqing Medicine
2015年
32期
4560-4562
,共3页
新生儿筛查%疾病管理%重庆永川区
新生兒篩查%疾病管理%重慶永川區
신생인사사%질병관리%중경영천구
neonatal screening%disease management%Chongqing Yongchuan district
目的：总结重庆市永川区开展新生儿代谢病筛查数据，以提高筛查质量，为提高本区新生儿疾病筛查管理质量提供对策。方法按照《新生儿疾病筛查管理办法》及《新生儿疾病筛查技术规范（2010年版）》积极开展永川区新生儿遗传代谢病筛查及其管理工作，回顾2004～2013年资料，对永川区新生儿代谢病筛查率、接产机构筛查覆盖率、可疑阳性患儿召回率、阳性患儿救治率、筛查项目数进行分析。结果10年间，重庆市永川区新生儿疾病筛查率、接产机构筛查覆盖率、可疑阳性患儿召回率稳步提高，分别上升了77．32％，88．57％和17．44％，阳性患儿救治率均为100％，筛查项目从甲状腺功能减低症（C H ）及苯丙酮尿症（PK U ）两项增加到C H、PK U、葡萄糖‐6磷酸脱氢酶缺陷症及先天性肾上腺皮质增生症4项。结论加强领导、健全组织、狠抓管理、强化培训、开展公众健康教育、督促确诊患儿的随访、实施政府经费资助是新生代谢病筛查质量不断提高的有效方法。
目的：總結重慶市永川區開展新生兒代謝病篩查數據，以提高篩查質量，為提高本區新生兒疾病篩查管理質量提供對策。方法按照《新生兒疾病篩查管理辦法》及《新生兒疾病篩查技術規範（2010年版）》積極開展永川區新生兒遺傳代謝病篩查及其管理工作，迴顧2004～2013年資料，對永川區新生兒代謝病篩查率、接產機構篩查覆蓋率、可疑暘性患兒召迴率、暘性患兒救治率、篩查項目數進行分析。結果10年間，重慶市永川區新生兒疾病篩查率、接產機構篩查覆蓋率、可疑暘性患兒召迴率穩步提高，分彆上升瞭77．32％，88．57％和17．44％，暘性患兒救治率均為100％，篩查項目從甲狀腺功能減低癥（C H ）及苯丙酮尿癥（PK U ）兩項增加到C H、PK U、葡萄糖‐6燐痠脫氫酶缺陷癥及先天性腎上腺皮質增生癥4項。結論加彊領導、健全組織、狠抓管理、彊化培訓、開展公衆健康教育、督促確診患兒的隨訪、實施政府經費資助是新生代謝病篩查質量不斷提高的有效方法。
목적：총결중경시영천구개전신생인대사병사사수거，이제고사사질량，위제고본구신생인질병사사관리질량제공대책。방법안조《신생인질병사사관리판법》급《신생인질병사사기술규범（2010년판）》적겁개전영천구신생인유전대사병사사급기관리공작，회고2004～2013년자료，대영천구신생인대사병사사솔、접산궤구사사복개솔、가의양성환인소회솔、양성환인구치솔、사사항목수진행분석。결과10년간，중경시영천구신생인질병사사솔、접산궤구사사복개솔、가의양성환인소회솔은보제고，분별상승료77．32％，88．57％화17．44％，양성환인구치솔균위100％，사사항목종갑상선공능감저증（C H ）급분병동뇨증（PK U ）량항증가도C H、PK U、포도당‐6린산탈경매결함증급선천성신상선피질증생증4항。결론가강령도、건전조직、한조관리、강화배훈、개전공음건강교육、독촉학진환인적수방、실시정부경비자조시신생대사병사사질량불단제고적유효방법。
Objective To summarize the data of newborn screening in Yongchuan district of Chongqing to promote its quali‐ty ,and to provide some measurements to enhance the management of newborn screening in this area .Methods According to the management system and technical standards of newborn screening (2010 Edition) ,newborn screening in Yongchuan district was im‐plemented .Screening rate ,coverage rate of newborn screening in maternity hospital ,recall rate of suspiciously affected newborns and rate of treatment of patients were analyzed from 2013-2014 .Results The screening rate ,coverage rate of newborn screening in maternity hospital ,recall rate of suspiciously affected newborns were increased by 77 .32% ,88 .57% and 17 .44% ,respectively , during these 10 years .All patients were treated appropriately (100% ) .Congenital hypothyroidism and phenylketonuria were screened .Since 2010 ,glucose‐6‐phosphate dehydrogenase deficiency and congenital adrenal hyperplasia were added to the newborn screening test panel .Conclusion Strengthen the management ,establish administrative department ,faculty training ,health education and government financial supports are contributed to improving the quality of newborn screening .
