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目的分析广州地区2009年-2012年新生儿疾病筛查可疑阳性未召回原因,总结召回经验,并提出相应处理对策,为进一步提高可疑阳性召回率提供科学依据方法对2009年-2012年广州市新生儿筛查中心新生儿筛查可疑阳性及未召回情况进行分析。结果广州市新生儿筛查中心2009年至2012年共筛查新生儿717 622例,其中PKU筛查阳性1192例,占0.17%,召回率为99.4%;TSH筛阳性4149例,占0.58%,召回率为98.3%。4年间筛查阳性召回率保持在98%以上,共有76例可疑阳性未召回,占1.42%。未召回的主要原因是联系方式错误,占79.0%,其次是居住地及联系方式变更,占19.7%。结论加大新生儿筛查的宣传力度,加强医务人员的相关培训,提高患者家属对疾病的认识,建立完善的三级筛查网络有利于提高筛查阳性召回率。
Objective To analyze the causes of suspicious positive non-recall of newborn disease screening in Guangzhou from 2009 to 2012, summarize the recall experience and propose countermeasures to provide a scientific basis for further raising the suspicious positive recall rate of 2009 Guangzhou Freshmen Analysis of suspicious positive and non-recall neonatal screening screening centers. Results A total of 717 622 newborns were screened from 2009 to 2012 in Guangzhou Neonatal Screening Center. Among them, 1192 were positive for PKU screening, accounting for 0.17%, recall rate was 99.4%; 4149 TSH screening positive, accounting for 0.58% Recall rate was 98.3%. During the four years, the screening positive recall rate remained above 98%, with a total of 76 suspicious positive recalls, accounting for 1.42%. The main reason for the non-recall is that the contact information is incorrect, accounting for 79.0%, followed by the change of residence and contact information, accounting for 19.7%. Conclusion Increasing the publicity of neonatal screening, strengthening the relevant training of medical staff and raising the awareness of family members about the disease, establishing a perfect tertiary screening network is conducive to raising the screening positive recall rate.