中国北方非克山病病区扩张型心肌病患病率  

The prevalence of dilated cardiomyopathy in northern non-endemic areas of Keshan disease

作　　者：李世娥[1] 侯杰[1] 王铜[1] 徐伯楠[1] 全丽丽[1] 赵丽丽[2] 刘红[1] 赵淑华[1] 郭子丹[1] 王影[3] 许友升[3] 李宁[3] 于波[3] 

机构地区：[1]哈尔滨医科大学地方病控制中心克山病研究所 [2]山东省淄博市张店区疾病预防控制中心 [3]哈尔滨医科大学附属第二医院

出　　处：《中国地方病防治》2013年第3期184-187,共4页Chinese Journal of Control of Endemic Diseases

摘　　要：目的调查中国北方7省非克山病病区扩张型心肌病患病率,为制订克山病消除标准提供依据。方法横断面研究,采用多阶段整群抽样在北方7省的非克山病病区随机抽取120村,采用调查表方式,每个调查对象均进行问卷调查、体格检查、心电检查,对疑似扩张型心肌病患者进行心动超声检查及拍摄后前位2 m距离胸部正位X线片。结果实际调查49 751人,男性22 815人,女性26 936人;共检出扩心病病人6例,患病率为1.2/万(95%可信区间:0.24/万,2.17/万);类潜克病人413例,患病率83.0/万(95%可信区间:75.0/万,90.9/万);总患病率为84.3/万(95%可信区间:76.2/万,92.2/万)。结论本研究为扩心病的研究积累了流行病学资料,调查结果可作为病区克山病流行状况比较的本底标准,为制订克山病消除标准提供依据。Objective To determine the prevalence of dilated cardiomyopathy（DCM） in northern non-endemic areas of Keshan disease,and provide the evidence for the Keshan disease eliminated standards.Methods Using randomized,multistage,and cluster sampling,we surveyed all the permanent resident population of the 120 villages in northern non-endemic areas of Keshan disease by clinical examination and echcardiography,and the suspected cases were diagnosed by Electrocardiography and X-ray evidence.Results A total of 22 815 men and 26 936 women were screened.The total prevalence is 84.3/10 000（95%CI： 76.2/10 000,92.2/10 000）.The 6 cases of DCM were detected in this survey,the prevalence was 1.2/10 000（95%CI：0.24/10 000,2.17/10 000）,including 4 males（1.8/10 000） and 2 females（0.7/10 000）.Conclusions This survey accumulated epidemiological data for the dilated cardiomyopathy.The prevalence of DCM can be the basis standards for the endemic areas of Keshan disease,and provide the evidence for the Keshan disease eliminated standards.

关 键 词：扩张型心肌病 横断面研究 患病率 克山病 消除 

分 类 号：R542.3[医药卫生—心血管疾病]