中国克山病防控空间描述性研究  

A Descriptive Spatial Study on Prevention and Control of Keshan Disease in China.

作　　者：韩珊 王铜 侯杰 张晓 郭中影 韩晓敏 梁虹 周慧慧 王亚楠 邹沅杰 刘旭 张艺艺 HAN Shan;WANG Tong;HOU Jie(Institute of Keshan Disease,Center for Endemic Disease Control,Chinese Center for Disease Control and Prevention,Harbin Medical University,Harbin,Heilongjiang Province 150081,China;不详)

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,黑龙江哈尔滨150081 [2]青岛市市立医院 [3]哈尔滨市疾病预防控制中心 [4]齐齐哈尔医学院 [5]济宁医学院

出　　处：《中国公共卫生》2020年第8期1128-1131,共4页Chinese Journal of Public Health

基　　金：国家自然科学基金(81773368,81372938)。

摘　　要：目的分析全国2015—2016年克山病病情及防控效果,为制定防控策略及合理分配卫生资源提供依据。方法采用重点调查与病例搜索相结合方式,调查15个全国克山病病区省,280个病区县的克山病病情、防控措施和防控效果。结果调查病区县占全国病区县的85.4%(280/328);病区居民23.7万人,共检出克山病患者802例,患病率为14.3/万,其中慢型克山病153例(患病率2.7/万),潜在型克山病649例(患病率11.6/万)。所调查病区县中达到克山病消除验收要求的病区县占75.7%;达到克山病控制标准的病区县占13.9%;未达到控制标准的病区县占10.4%,主要分布在甘肃、内蒙古、山东等省份。结论全国克山病病情已得到较好控制,但是在内蒙古、甘肃、山东等省份仍有未达到控制标准的病区县,这些地区应为今后克山病防控工作的重点区域。Objective To explore the prevalence and prevention and control effect of Keshan disease(KD)in China and to provide evidences for developing prevention and control strategies and rational allocation of health resources.Methods We conducted case searching and key endemic area investigation among permanent residents in 280 KD endemic areas in 15 provinces/autonomous regions/municipalities across China during 2015–2016.Data on KD surveillance and KD prevention and control performance in the endemic areas were collected.Results 85.4%of all KD endemic counties were surveyed in the study.Among the 237000 residents examined,802 were diagnosed as KD,with a prevalence rate of14.3/10000.Of all the KD patients diagnosed,153 and 649 were chronic and potential cases and the prevalence rates of the two type of KD were 2.7 and 11.6 per 10000 for the residents surveyed.The analysis results of surveillance data demonstrated that 75.7%of the surveyed KD endemic counties with the indicators reaching the standards for KD elimination and 13.9%with the indicators for KD control;only 10.4%of the counties with the indicators not meeting the required for KD control and those counties were mainly located in Gansu and Shandong province and Inner Mongolia Autonomous Region.Conclusion The prevalence of Keshan disease was generally under well control during 2015–2016 in China but there were still endemic counties with surveillance indicators not reaching national standards for the control of the disease in a few provinces.

关 键 词：克山病 空间流行病学 精准防控 空间聚集 地理信息系统(GIS) 

分 类 号：R599[医药卫生—内科学]