四川省扩张型心肌病与克山病病情调查研究  

The research of dilated cardiomyopathy and Keshan disease in Sichuan Province

作　　者：蔡卫[1] 李锋[1] 杨菲[1] 

机构地区：[1]四川省疾病预防控制中心地方病所,四川成都610041

出　　处：《中国地方病防治》2015年第4期245-247,共3页Chinese Journal of Control of Endemic Diseases

摘　　要：目的了解和掌握四川省非克山病病区扩张型心肌病与克山病病区克山病病情现状,为四川省克山病＂十二五＂的消除考核评估提供可靠科学数据。方法采用描述流行病学方法,收集汇总2011年中财四川省非克山病病区通江县、三台县、棉竹市、古蔺县、长宁县扩张型心肌病和2011年省财克山病病区西昌市、冕宁县、大竹县、仁和区、剑阁县克山病病情调查资料数据,并进行对比分析。结果非病区扩张型心肌病较病区克山病病例搜索诊断病例少,调查任务完成率低,慢型病例检出率低,购外地主食粮食比例高,被调查人群3～20岁少、46～75岁多、男女比例构成高,高血压患病率高,心电检查心电异常率低,P均〈0.05,差异有统计学意义;潜在型病例检出率低,人均年收入近千元,X线胸片心脏增大率低,P均〉0.05,差异无统计学意义。结论四川省非病区扩张型心肌病与病区克山病病情调查结果经过统计学分析直接或间接验证了克山病营养地球化学病因学说、生物病因学说、克山病流行病学特点及一些影响因素。Objective To understand and master disease status of dilated cardiomyopathy（ DCM） in non Keshan disease（ KD） area and Keshan disease in Keshan disease endemic area in Sichuan Province and to provide reliable scientific data for 12 th FiveYear elimination assessment. Methods Using descriptive epidemiological method to analyze the DCM in Tongjiang County, Santai County, Mianzhu County,Gulin County, Changning County,and the KD in Xichang City, Mianning County, Dazhu County,Renhe District, Jiange County in 2011. Results The diagnosed cases of dilated cardiomypathy in non endemic areas are less than those in endemic areas; The survey task completion rate and detection rate of chronic disease cases are lower than those in endemic areas; The proportion of purchasing staple food in non endemic areas is higher than that in endemic areas. The number of disease cases between 3 and 20 years old people in non endemic areas is less than that in endemic areas and the number of disease cases between 46 and 75 years old people in non endemic areas is more than that in endemic areas; The ratio of men to women constitutes high; The hypertension prevalence rate in non endemic areas is higher than that in endemic areas; The ECG abnormal rate in non endemic areas is lower than that in endemic diseases（ P〈0. 05）. The difference was statistically significant.The potential case detection rate is low; The annual per capita income is nearly 1 000 yuan; The enlargement of the heart rate in chest X-ray is low（ P〉0. 05）. The difference was not statistically significant. Conclusions The survey results was directly or indirectly verified the KD nutrition geochemical theory of etiology,biological etiology, epidemiological characteristics and some influence factors.

关 键 词：扩张型心肌病 克山病 病情调查 研究 

分 类 号：R542.3[医药卫生—心血管疾病]