2005年云南省克山病病情监测结果分析  

Analysis of Keshan Disease Surveillance in Yunnan Province in 2005

作　　者：王跃兵[1] 杨林[1] 李兆祥[1] 黄文丽[1] 马琳[1] 杨兰萍[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5期1-3,共3页Endemic Diseases Bulletin

摘　　要：目的为了全面掌握云南省克山病病情态势,科学指导和评价云南省克山病防制工作。方法按照《克山病监测》标准(W S/T78-1996)及《克山病诊断标准》(GB17021-1997)进行。监测内容包括临床检诊、心电图描记、可疑对象摄胸部后前位X线片。结果9个省级克山病监测点共检出克山病病例48例(1.03%),其中潜在型克山病(简称“潜克”)39例(0.84%),慢型克山病(简称“慢克”)9例(0.19%)。检出率与2004年相比,无显著性差异(χ2=1.362,P>0.05)。无急型克山病(简称“急克”)和亚急型克山病病例(简称“亚急克”)检出。全年累计新发慢克62例,发病率0.14/10万。结论目前云南省克山病病情处于平稳低发态势。克山病监测是了解克山病病情的一种科学手段,工作重点应放在病情监测、病情调查和对慢克病人的管理治疗,以及巩固和加强防治队伍建设等方面。Objective To study the tendency of prevalence and incidence of Keshan disease （ KD ） in Yunnan Province, and provide scientifical methods for KD surveillance. Methods Based on surveillance standand of KD （ WS/T78 - 1996 ） and diagnostic standard of KD （ GB17021 - 1997 ） , the residents at the sur- veillance sites were surveyed by clinical examination, electrocardiogram and X -ray. Results No new cases of acute and subacute types of KD patients were found, 39 cases of latent KD and 9 cases of chronic KD were found in 2005. The incidence of latent and chronic KD was 0.84% and 0.19% respectively. The prevalence of latent KD and chronic KD was the same as 2004 respectively. Conclusions The condition of KD is stable with low incidence in Yunnan Province. The KD surveillance is very important. Improvement of KD surveillance, strengthening management and treatment of chronic KD should be continued.

关 键 词：克山病 病情监测 云南 

分 类 号：R542.3[医药卫生—心血管疾病] R181.81[医药卫生—内科学]