2009年黑龙江省五大连池市克山病病情监测结果分析  

Surveillance of Keshan disease in Wudalianchi city Heilongjiang province in 2009

作　　者：张丽薇[1] 荣蓉[1] 侯杰[1] 冯红旗[1] 郭淑华[1] 徐伯楠[1] 孙亚非[1] 李丹丹[1] 张立君[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,150081

出　　处：《中国地方病学杂志》2012年第6期657-659,共3页Chinese Jouranl of Endemiology

基　　金：中央补助地方公共卫生专项资金地方病防治项目（2009）

摘　　要：目的分析黑龙江省五大连池市克山病病情监测结果，掌握该地区克山病病情现状。方法2009年，在五大连池市龙镇开发村克山病监测点，以全部常住人口为监测对象，进行常规临床体检、描记12导联心电图，对疑似克山病患者摄X线胸片。克山病诊断依据《克山病诊断标准》（WS／T210—2011）。结果在开发村共调查了795人，其中男性397人，女性398人。共检出克山患者18例，其中潜在型克山病患者13例，慢型克山病患者5例，总检出率为2．27％（18／795），年龄范围为24—83岁。监测点年内无急型、亚急型新发克山病发生。检出异常心电图29例，检出率为3．65％（29／795）。其中18例克山病患者均为异常心电图，以ST-T改变和完全性右束支传导阻滞为主。检出男性克山病患者6例，检出率为1．52％（6／397）；检出女性克山病患者12例，检出率为3．01％（12／398）。结论五大连池市仍存在潜在型和慢型克山病病例，必须坚持进行克山病监测，掌握病情变化动态．有针对性地开展克山病防治。Objective To analyze the surveillance results and. grasp the situation of Keshan disease in Wudalianchi city Heilongjiang province. Methods In 2009, Kaifa village was selected as the surveillance point in Wudalianchi city, total resident population were monitored by routine clinical examination and 12-lead electrocardiogram（ECG） tracing. Suspected cases with Keshan disease were taken chest X-ray, and Keshan disease was diagnosed based on ＂Keshan Disease Diagnostic Criteria＂（WS/T 210-2011）. Results A total of 795 people were investigated, including 397 males and 398 females. Eighteen people were found to be the patients with Keshan disease, of which 13 cases were latent Keshan patients, 5 cases were chronic Keshan patients. The overall detection rate was 2.27%, aged 24 to 83 years old. There was no acute type and subacute type of Keshan disease in the surveillance point. Twenty nine cases of abnormal ECG were detected, the detection rate was 3.65% （29/795）, of which the 18 patients with Keshan disease were all had abnormal ECGs, mainly taken the form of ST-T changes and completely right bundle branch blocked. Six cases of male patients with Keshan disease were detected, the detection rate was 1.52% （6/397）; 12 cases of female patients with Keshan disease were detected, the detection rate was 3.01%（12/398）. Conclusions There is still potential and chronic Keshan disease cases in Wudalianchi city. We must keep on the monitoring on Keshandisease, master the dynamical changes of the disease conditions, and carry out the targeted prevention and control of Keshan disease.

关 键 词：克山病 监测 结果评价 

分 类 号：R542.3[医药卫生—心血管疾病]