【摘要】 目的探索高危儿的疾病特征、随访情况及其影响因素。方法对550例高危儿的疾病特征和随访情况进行分析;采用自制的调查问卷,进行失访原因和随访依从性调查。结果首次参加随访的高危儿中,前4位高危因素包括低出生体重、高胆红素血症、窒息或缺氧缺血性脑病和颅内出血,累计比例占83.6%。随访1~2次的高危儿占45.3%,随访≥6次的占40.4%,随访≥12次的占23.1%。失访原因主要源自家长的主观因素。父母文化水平、家长的认知和家长培训情况等因素影响高危儿的随访依从性。结论高危儿随访的失访率仍相对较高。应通过不断完善高危儿的系统管理,加大对高危儿家长宣教力度,以降低失访率,减少高危儿后遗症的发生。更多还原

【Abstract】 Objective To investigate the characteristics of the disease,followed-up situation and its influencing factors among high-risk children. Methods To analysis the characteristics of the disease and followed-up situation of 550 high-risk children; the questionnaire designed by ourselves was use to investigate the lost causes and follow-up compliance of high-risk children. Results In the first followed-up,the top four risk factors of the follow-up children were low birth weight,hyperbilirubinemia,suffocation or hypoxic-ischemic encephalopathy and intracranial hemorrhage,the cumulative proportion reaches as high as 83. 6%. 45. 3% of highrisk children just followed up for 1-2 times,40. 4% of high-risk children followed up for more than 6 times,23. 1% of high-risk children followed up for more than 12 times. Parents’ subjective factor was the mainly lost causes. The level of parents’ education,parents’ cognitive level and training situation affected the follow-up compliance of high-risk children. Conclusion The rate of lost follow-up of high-risk children was still high. We must perfect the management of high-risk children and intensify parents ’propaganda,in order to reduce the rate of lost follow-up and the occurrence of high-risk children’s sequelae.更多还原