PDF(Pubmed)
Abstract：
Congenital heart disease (CHD) is a congenital disorder primarily affecting newborns and children. Children with CHD have a greater risk of experiencing growth delays or disorders compared to healthy children. CHD also affects various aspects of a child\'s development. The aim of this study was to determine the association of CHD types (cyanotic and acyanotic) with the growth and development status of children. A cross-sectional study was conducted among CHD patients at a national reference hospital in Sumatra, H. Adam Malik General Hospital in Medan, Indonesia. The children\'s growth status was assessed using the WHO growth chart, and the developmental condition was evaluated through the Denver Developmental Screening Test-II. Chi-squared test and Fisher\'s exact test were used to assess the association between the type of CHD with growth and development status in children. Using a consecutive sampling method, a total of 53 individuals were included in this study. Almost half of CHD patients (48.1%) were within the age group of 0-2 years and more than half (61.1%) were girls. Acyanotic CHD (74.1%) was more prevalent than cyanotic CHD (25.9%), with ventricular septum defect (VSD) as the most common diagnosis. A total of 37% of children with CHD suffered from malnutrition, whereas the remaining 62.9% had good nutrition. The Denver Developmental Screening Test-II indicated that 81.4% of the children were normal, whereas 18.5% had developmental disorders. Our data suggested a significant association between cyanotic CHD and poor growth status in children based on weight-for-age, weight-for-length, and body mass index (BMI)-for-age. However, there was no association between the type of CHD and developmental status in children. This study highlights that the type of CHD is significantly associated with the growth status of children, but not with their developmental status.
摘要：
先天性心脏病（CHD）是一种先天性疾病，主要影响新生儿和儿童。与健康儿童相比，患有CHD的儿童有更大的经历生长延迟或疾病的风险。CHD还影响儿童发育的各个方面。这项研究的目的是确定CHD类型（紫红色和亚黄色）与儿童生长发育状况的关系。在苏门答腊国家参考医院的CHD患者中进行了一项横断面研究，棉兰的亚当·马利克综合医院，印度尼西亚。使用世界卫生组织的生长图评估儿童的生长状况，并通过丹佛发育筛查测试-II评估发育状况。使用卡方检验和Fisher精确检验评估儿童CHD类型与生长发育状况之间的关系。使用连续采样方法，本研究共纳入53例个体.几乎一半的CHD患者（48.1％）在0-2岁年龄段内，超过一半（61.1％）是女孩。紫花苜蓿性CHD(74.1%)比紫花苜蓿性CHD(25.9%)更普遍,室间隔缺损（VSD）是最常见的诊断。37％的CHD儿童患有营养不良，而其余62.9%的人营养良好。丹佛发育筛查测试-II显示81.4%的儿童是正常的,而18.5%有发育障碍。我们的数据表明紫红色CHD与儿童基于年龄体重的不良生长状态之间存在显着关联，长度的重量,和年龄的体重指数（BMI）。然而,CHD类型与儿童发育状态之间无关联.这项研究强调，冠心病的类型与儿童的生长状态显着相关，但不是他们的发展状况。
