摘要
目的研究2000-2004年克山病患病及发病趋势。方法根据卫生行业标准《克山病监测》(WS/T78-1996)及《克山病诊断标准》(GB17021-1997)在12个省对监测点区居民进行普查和克山病发病相关因素调查。结果5年间潜在型、慢型克山病年均检出率分别为3.8%和0.8%。各监测点区共新发潜在型克山病113例,新发现慢型克山病29例。人均发硒0.305mg/kg,粮硒0.017mg/kg。结论部分克山病省区病情不清,病区粮硒仍属低硒水平,有新病例检出。克山病仍然是一个严重的地方性公共卫生问题。克山病控制的重点应包括规范监测工作,慢型克山病现患的治疗。
Objective To observe the trends of prevalence and incidence of Keshan disease（KD） in China from 2000 to 2004. Methods Based on the Standard of Keshan Disease Surveillance （WS/T 78-1996） and the Standard of Diagnosis of Keshan Disease （GB 17021-1997）,the residents in the surveillance sites were surveyed. Some factors potentially contributing to KD were also investigated. Results The average prevalence of latent and chronic KD was 3.8% and 0.8% respectively, and the estimated Keshan disease patients were up to 5.7 to 6.22 millions, among whom, 960 thousands to 1.18 millions were chronic KD patients. In the five years, 113 new cases of latent KD patients and 29 new cases of chronic KD patients were found at the surveillance sites. The level of hair selenium of the people surveyed was 0.305 mg/kg. The level of food selenium surveyed was 0.017 mg/kg. Conclusions The prevalence of KD in part of KD areas are not clear. The level of food selenium is still low. New cases of KD were still found. KD is therefore one of the seriously endemic public health issues. Surveillance and management of chronic KD patients, should be emphasized.
出处
《中国地方病学杂志》
CAS
CSCD
北大核心
2005年第6期676-679,共4页
Chinese Jouranl of Endemiology
基金
卫生部疾病控制司委托资助项目(2004)
关键词
克山病
硒
流行病学监测
结果评价
Keshan disease
Selenium
Epidemiogical monitoring
Outcome assessment
