2019-2021年甘肃省克山病病情监测结果分析  

Analysis of the surveillance data of Keshan disease in Gansu Province from 2019 to 2021

作　　者：鱼素琴[1] 李萍[1] 陈晓燕[1] 王燕玲[1] 陈发青 Yu Suqin;Li Ping;Chen Xiaoyan;Wang Yanling;Chen Faqing(Department of Endemic Disease Control,Gansu Center for Disease Prevention and Control,Lanzhou 730000,China)

机构地区：[1]甘肃省疾病预防控制中心地方病防制科,兰州730000

出　　处：《中华地方病学杂志》2025年第1期39-41,共3页Chinese Journal of Endemiology

基　　金：甘肃省科技计划项目(23JRRA1795)。

摘　　要：目的掌握甘肃省克山病病情现状及消长趋势,为科学制定防治策略提供依据。方法2019年3月至2021年10月,在甘肃省28个病区县(区、市)的所有病区乡(镇)开展克山病病情监测,以病区村为单位,收集人口学资料,通过村医和乡镇卫生院、县医院等医疗机构搜索慢型克山病疑似病例,按照《克山病诊断》(WS/T 210—2011)对疑似病例进行诊断核实,并对慢型克山病现症患者进行复诊、随访。结果全省共有254个病区乡(镇)、2611个病区村,病区村常住人口达366.71万人;各年度仍有新发慢型克山病病例,共6例;2020—2021年,慢型克山病病例中,病情不变病例占2019—2020年总患者人数的88.92%(923/1038),死亡病例占9.54%(99/1038);3年间慢型克山病现症患者男性886例、女性687例;年龄以>50~60岁为主,占38.78%(610/1573)。结论甘肃省克山病处于持续消除水平,但仍有新发慢型克山病病例检出,应继续加强病情监测,切实巩固克山病防治成果。Objective To study the current prevalence and temporal patterns of Keshan disease in Gansu Province,thereby establishing a scientific foundation for development of targeted prevention and control strategies.Methods From March 2019 to October 2021,monitoring of Keshan disease was conducted in all affected townships(towns)across 28 counties(districts,cities)in Gansu Province.Demographic data were collected from affected villages,and suspected chronic Keshan disease cases were identified through village clinics,township health centers,county hospitals,and other medical institutions.These suspected cases were diagnostically verified according to the"Diagnosis of Keshan Disease"(WS/T 210-2011).Current chronic Keshan disease cases underwent re-examination and follow-up monitoring.Results There were a total of 254 endemic townships(towns)and 2611 endemic villages across the province,with a permanent resident population of 3.6671 million in the affected areas.New cases of chronic Keshan disease continued to emerge throughout the study period,totaling 6 cases.From 2020 to 2021,among the total number of chronic Keshan disease cases,88.92%(923/1038)remained stable in condition,while mortality cases accounted for 9.54%(99/1038).Over the past three years,there were 886 males and 687 females with current chronic Keshan disease,mainly aged between 50 and 60 years old,accounting for 38.78%(610/1573).Conclusions While Keshan disease in Gansu Province maintains a sustained level of elimination,new chronic cases continue to emerge.It is essential to enhance disease surveillance efforts,and effectively consolidate the achievements in Keshan disease prevention and control measures.

关 键 词：克山病 监测 分析 

分 类 号：R54[医药卫生—心血管疾病]