新生儿疾病筛查管理中常见问题与对策

摘要

Abstract：Objective To discuss the common problems and countermeasures in the management of neonatal disease screening. Methods  The clinical data of neonatal metabolic disease screening in hospital between January 2015 and December 2015 were selected and analyzed retrospectively. Results  TSH, Phe, G6PD and 17-OHP related diseases were four of major hereditary metabolic disease in neonatal metabolic screening. The number of participants with suspicious positive response was 30 cases in the first quarter, 135 cases in the second quarter, 158 cases in the third quarter and 116 cases in the fourth quarter. The actual number of recalled patients was 28 cases, 135 cases, 150 cases, 113 cases, respectively. The number of those failed to recall for reexamination was 2 cases, 0 case, 8 cases, 3 cases. The main problems were as follows, insufficient of propaganda of health education, imperfect screening network, poor quality of blood film, inadequate training of technology, poor quality of service. Conclusion  A lot of problems still exist in the management of neonatal screening. It is required to strengthen staff training and health education, regulate the work procedures for health administrative departments at all levels of attention, so as to improve the quality of newborn screening.