摘要
目的掌握2005年全国克山病患病及发病情况。方法按统一监测方案并根据《克山病诊断标准》(GB 17021-1997)对22个克山病监测点区居民进行查体,描12导联心电图,疑似病人摄2 m后前位X线胸片及居民发硒、粮硒测定。结果22个监测点潜在型、慢型克山病检出率分别为3．5％和0．6％;新检出潜在型克山病7例,慢型克山病1例;人均发硒0．349 mg／kg,粮食硒0．025 mg／kg。结论监测点仍有潜在型和慢型克山病新发病例出现,说明克山病仍然是一个严重的地方性公共卫生问题;工作重点应放在克山病监测、硒预防、患者管理、治疗以及加强防治队伍培训等方面。
Objective To find out the trends of prevalence and incidence of Keshan disease （KD） in China. Methods Based on the uniform surveillance program and the Standard of Diagnosis of KD （GB 17021- 1997） ,the residents in 22 surveillance sites were surveyed. Some factors potentially related to KD were also investigated. Results The prevalence of latent and chronic KD in surveillance sites was 3.5% and 0.6% respectively, and Keshan disease patients were estimated to be 4.82 to 5.81 millions in china, among whom 580 to 960 thousands were chronic KD patients. 7 latent and 1 chronic KD patients were newly discovered. The average level of hair selenium of 381 people surveyed was 0.349 mg/kg（mean）. The average selenium level in 309 shares of food surveyed was 0.025 mg/kg （mean）. Conclusions Keshan disease is still one of the serious endemic public health issues. The emphases of prevention should be put on the surveillance, management of KD patients,training of the working team and supplementing selenium to people at high risk.
出处
《中国地方病学杂志》
CAS
CSCD
北大核心
2006年第4期405-407,共3页
Chinese Jouranl of Endemiology
基金
卫生部疾控司委托资助项目(2005)
关键词
克山病
监测
心电描记术
X线
硒
Keshan disease
Surveys
Electrocardiography
X-ray
Selenium
