2003年全国克山病病情监测汇总分析  

2003 survey and analysis on keshan disease in China

作　　者：王铜[1] 侯杰[1] 李奇[1] 汪中伯[1] 徐柏楠[1] 董国淑[1] 李贤一[1] 

机构地区：[1]哈尔滨医科大学中国疾病预防控制中心地方病控制中心克山病防治研究所,150086

出　　处：《中国地方病学杂志》2004年第5期444-447,共4页Chinese Jouranl of Endemiology

基　　金：卫生部疾控司委托项目(2003)

摘　　要：目的查明克山病在全国范围内患病及发病的消长趋势。方法根据《克山病监测》标准(WS/T78-1996)及《克山病诊断标准》(GB17021-1997)对监测点区居民进行普查,随访2002年在册的克山病病例,对克山病发病相关因素进行调查。结果全国年内无急、亚急型发病,潜在型、慢型检出率为2.19%、0.60%,全国年内新发潜在型12例、慢型6例,发病率分别为1.23‰,0.61‰。人均发硒(0.2557±0.0320)mg/kg。结论克山病在全国各病区处于稳定态势,在继续逐步完善监测工作的同时,应对病人进行生活及就医指导。Objective To study on the prevalence of Keshan disease(KD) and the trend of incidence in China. Methods Based on surveillance standard of Keshan disease(WS/T78-1996) and diagnostic standard of Keshan disease(GB17021-1997), the residents in the surveillance sites were surveyed. The registered KD patients were followed up. Some factors related to KD were also investigated. Results No new cases of acute and sub acute types of KD patients were found. The prevalence of latent and chronic KD is 2.19% and 0.60% respectively. In 2003,12 new cases of latent KD patients and 6 new cases of chronic KD patients were found. The incidence of latent KD and chronic KD were 1.23‰ and 0.61‰, respectively. The level of hair selenium of the people surveyed was(0.255 7±0.032 0) mg/kg(standard deviation). Conclusions The prevalence and incidence of KD are steady. Improvement of KD surveillance should be continued. The cases of chronic KD patients should be advised on KD management.

关 键 词：克山病 汇总分析 病情监测 发病相关因素 病区 发硒 新发 消长趋势 监测工作 患病 

分 类 号：R542.3[医药卫生—心血管疾病] R471[医药卫生—内科学]