1978～2004年云南地方性暴发性心肌炎流行病学调查分析  

Epidemiological Survey and Analysis of Yunnan Endemic Fulminating Myocarditis from 1978 to 2004

作　　者：黄文丽[1] 杨林[1] 赵溯[1] 李兆祥[1] 马琳[1] 杨兰萍[1] 马永康[1] 董兴齐[1] 

机构地区：[1]云南省地方病防治所,云南大理671000

出　　处：《地方病通报》2006年第2期23-25,共3页Endemic Diseases Bulletin

基　　金：卫生部科学研究基金课题(WKJ-2003-01-05);云南省科技攻关项目(2004NG13)

摘　　要：目的寻找云南地方性暴发性心肌炎流行病学规律.方法回顾性调查和横断面调查相结合对1978～2004年疫情资料进行分析.结果 （1）流行地区包括8个地、州、市,22个县区;（2）27年间共发生疫情86起,死亡267人;（3）病区特点：均为贫困山区或半山区,有67.6%的病区与克山病病区相重叠;（4）本病呈年度高发和季节高发,6～9月为主要流行季节;（5）发病人群以当地农民为主,青壮年为高发人群,女性略多于男性;（6）有明显的家庭聚集性.结论 1991年后本病流行有明显的上升趋势;发病人群以青壮年为主,是家庭的主要劳动力;本病来势凶猛,发病突然,死亡突然,给救治带来了许多困难和问题,是病死率高的主要原因;监测防治不应只限于22个疫区县,应扩大防治范围.Objective To find out the epidemiological feature of Yunnan Endemic Fulminating Myocarditis（YEFM）. Methods Retrospective study and cross- sectional study were carried out. Results 1. The epidemic areas included 22 counties of 8 areas （ prefectures and cities ） ; 2. From 1978 - 2004, the YEFM happened 84 times, and 265 died of YEFM; 3. YEFM areas were villages in the mountain area. The 72.7% YEFM areas were in the epidemic areas of Keshan Disease ; 4. The epidemic season was from June - September; 5. The YEFM patients were farmers with the age of 15 - 50 years old. The female patients were more than the male patients; 6. The YEFM patients usually were found in one family. Conclusions From 1991 YEFM patients increase year by year. The course of YEFM changes fast and sudden death is its clinical character with high fatality rate.

关 键 词：云南地方性暴发性心肌炎 流行特点 流行病学分析 

分 类 号：R599.9[医药卫生—内科学] R542.21[医药卫生—临床医学]