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[目的]回顾十堰市各县乡级医疗机构对新生儿先天性甲状腺功能减低症(CH)1年来筛查情况,总结经验、查找不足,以提高新生儿疾病筛查工作。[方法]各级医疗机构于新生儿出生72 h后,采足跟末梢血制成滤纸干血片,送至我院筛查中心检测促甲状腺素(TSH)的浓度,筛查阳性,召回确诊,并对筛查数据进行汇总与分析。[结果]1年来,共筛查新生儿29 231例,确诊CH患儿11例,CH阳性率为0.69‰例,其中妇幼保健机构筛查比较规范,县级人民医院积极性相对较差,各县筛查率参差不齐,差异较大,与交通,经济收入关系不大。[结论]十堰市CH发病率处于全国平均水平,新生儿疾病筛查率仍有很大提高空间,各级政府部门和妇幼保健机构应加强新生儿疾病筛查网络建设、管理监督,提高医疗机构积极性,才能进一步提高筛查覆盖率,降低缺陷儿发生率,提高我市出生人口素质。
[Objective] To review the screening situation of congenital hypothyroidism (CH) in newborns for one year in Shixian county and township level medical institutions, summarize the experience and find out the shortage in order to improve the neonatal disease screening. [Methods] After 72 hours of newborns’ birth, filter-paper dried blood films were collected from the hematopoietic and peripheral blood of all medical institutions at all levels and sent to the screening center of our hospital to detect the concentration of TSH. The screening was positive and the diagnosis was recalled , And the screening data summary and analysis. [Results] A total of 29 231 newborns were enrolled in this study. Eleven CH patients were diagnosed as CH, and the positive rate of CH was 0.69 ‰. Among them, screening of maternal and child health institutions was relatively standardized, and the enthusiasm of county-level people’s hospitals was relatively poor. The screening rate is uneven, the difference is large, and traffic, economic income has little to do. [Conclusion] The prevalence of CH in Shiyan is at the national average level, and there is still much room for the screening of neonatal diseases, and government departments at all levels and MCH agencies should strengthen the construction of neonatal screening network, supervise and supervise the improvement of medical institutions Enthusiasm, in order to further improve the screening coverage, reduce the incidence of defects in children, improve the quality of birth population in our city.