Jiang Li-hong, Duan Chang-qun, Ma Zhi-qiang, Zhu Li-jun, Yin Wen-jie, Zou Hong-lin, Li Peng, Wu Jian, Wei Jie, Na Zhu-hui, Chen Wen-min
Yan'an Hospital, Kunmin 650051, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2005 Mar;26(3):182-6.
To investigate the distribution of congenital heart disease (CHD) aged 3 - 18 in several regions of Yunnan province.
Cross-rectional studies were carried out among 48 638 children from Xishuangbanna, Dali, Baoshan Longling, Luxi Mangshi and Gejiu in Yunnan province with stratified, clustered sampling.
The overall morbidity of CHD was 5.08 per thousand with 5.09 per thousand in males and 5.07 per thousand in females. Morbidity rates in different regions were 2.75 per thousand in Xishuangbanna, 7.85 per thousand in Dali, 9.59 per thousand in Baoshan Long ling, 4.80 per thousand in Gejiu, 16.99 per thousand in Luxi Wuchalu. However, in the same area, rates were different among different residents:3.25 per thousand in Gejiu, and was 9.10 per thousand in Laochang stannum mine, 11.20 per thousand in Datunxuanchang; 5.74 per thousand at the city of Baoshan Longling, 11.35 per thousand at countryside; 4.90 per thousand at the city of Dali, 8.71 per thousand at countryside; 1.69 per thousand at the city of Xishuangbanna, 4.40 per thousand at country. Morbidity rates in different ethnic groups were as follows: 5.39 per thousand in Dai, 6.83 per thousand in Jinuo, 0 per thousand in Hani, 8.12 per thousand in Bai, 14.18 per thousand in Jingpo.
There were significant regional and ethnic differences seen in Yunnan on the mobidity of CHD which was different from the domestic literature reported.
调查云南省部分地区3 - 18岁先天性心脏病(CHD)的分布情况。
采用分层整群抽样方法,对云南省西双版纳、大理、保山龙陵、潞西芒市和个旧的48638名儿童进行横断面研究。
CHD的总体发病率为千分之5.08,男性为千分之5.09,女性为千分之5.07。不同地区的发病率分别为:西双版纳千分之2.75,大理千分之7.85,保山龙陵千分之9.59,个旧千分之4.80,潞西五岔路千分之16.99。然而,在同一地区,不同居民的发病率也有所不同:个旧为千分之3.25,老厂锡矿为千分之9.10,大屯选矿厂为千分之11.20;保山龙陵城区为千分之5.74,农村为千分之11.35;大理城区为千分之4.90,农村为千分之8.71;西双版纳城区为千分之1.69,农村为千分之4.40。不同民族的发病率如下:傣族千分之5.39,基诺族千分之6.83,哈尼族千分之0,白族千分之8.12,景颇族千分之14.18。
云南省CHD的发病率存在显著的地区和民族差异,与国内文献报道不同。