摘要
目的了解四川省克山病的病例检出情况,掌握病区克山病病情变化趋势,为调整防治策略提供科学依据。方法2019—2021年按《克山病监测方案》对四川省内16个调查县(市、区)的病区村常住人口进行流行病学调查、临床内科查体、心电图检查,对其中的疑似克山病病例摄2 m后前位X线胸片及心脏超声检查,调查所得数据采用卡方检验和等级相关进行统计分析,以P<0.05为差异有统计学意义。结果16个县(市、区)从调查点共调查16307人,检出克山病共5例(检出率0.031%),其中急型克山病0例,亚急型克山病0例,慢型克山病4例(检出率0.025%),潜在型克山病1例(检出率0.006%)。结论四川省克山病整体病情保持低发平稳态势;为保持消除状态,建议持续开展健康教育和重点人群调查工作。
Objective To understand the case detection of Keshan disease in Sichuan Province,to grasp the change trend of Keshan disease in the affected area,and to provide scientific basis for adjusting the prevention and control strategy.Methods According to the“Keshan Disease Monitoring Plan”from 2019 to 2021,epidemiological investigation,clinical medical physical examination and ECG examination were carried out on the permanent residents of affected areas and villages in 16 surveyed counties in Sichuan Province.Among them,the suspected Keshan disease cases were taken 2 m posterior anterior chest X-ray and cardiac ultrasound examination,the survey data were statistically analyzed by chi square test and grade correlation.The differences P<0.05 was considered statistically significant.Results Totally 16307 people were surveyed in 16 counties.A total of 5 cases of Keshan disease were detected(the detection rate was 0.031%),which including 0 cases of acute Keshan disease,0 cases of subacute Keshan disease,4 cases of chronic Keshan disease(the detection rate was 0.025%)and 1 cases of latent Keshan disease(the detection rate was 0.006%).Conclusions The overall condition of Keshan disease in Sichuan Province remain low and stable;In order to maintain the elimination status,it is recommended to continue to carry out health education and key population survey.
作者
李锋
蔡卫
李津蜀
LI Feng;CAI Wei;LI Jin-shu(Sichuan Province Center for Disease Control and Prevention,Chengdu 610041,Sichuan Province,China)
出处
《预防医学情报杂志》
CAS
2023年第1期30-33,共4页
Journal of Preventive Medicine Information
关键词
克山病
调查
检出率
Keshan disease
survey
detect rate
