2004年黑龙江省富裕县克山病病情监测分析-哈尔滨医科大学.docVIP

2004年全国克山病病情监测汇总分析 王铜，侯杰，李奇，张立君，李兴洲，高琳，裴俊瑞，邓晶，徐柏楠，董国淑 （哈尔滨医科大学 克山病研究所 黑龙江 哈尔滨 150086） [摘要] 目的：掌握2004年全国克山病患病及发病趋势。方法：根据《》）《》0.020㎎/㎏。结论：克山病仍然是一个严重的地方性公共卫生问题，工作重点应放在克山病监测，患者管理，硒预防等方面。 [关键词]：克山病；监测；硒；诊断 Analysis of the Data of National Keshan Disease Surveillance in 2004 WANG Tong, HOU Jie, LI Qi, ZHANG Li-jun, LI Xing-zhou, GAO Lin, PEI Jun-rui, DENG Jing, XU Bai-nan, DONG Guo-shu Institute of Keshan Disease, Harbin Medical University, Harbin 150086,PR China [Abstract] Objective To study on the trends of prevalence and incidence of Keshan Disease(KD) in China. Methods Based on the Standard of Keshan Disease Surveillance（WS/T78—1996）Keshan Disease(GB17021—1997),the residents in 18 surveillance sites were surveyed. The registered KD patients were followed up. Some factors potentially related to KD were also investigated. Results The prevalence of latent and chronic KD is 3.5% and 0.7% respectively, and the estimated Keshan disease patients are 4.91 to 6 millions. Of them, 650 to 1170 thousands are chronic KD patients. The incidence of latent and chronic KD is 1.8?and 0.1?respectively. The estimated new cases of latent patients are 130~390 thousands, and the chronic patients are up to 43 thousands per year. Thesp level of hair selenium of the people surveyed is 0.365㎎/㎏(mean). The level of food selenium surveyed is 0.020㎎/㎏(mean). Conclusions Keshan disease is still one of the serious endemic public health issues. Surveillance, management of chronic KD patients, and supplementing selenium to people at high risk to prevent them from having KD should be strengthened. [key words]: Keshan Disease; survey; selenium; diagnosis 为掌握2004年全国克山病病情的消长趋势，有针对性的提出防治措施，受卫生部疾控司委托，全国克山病病情监测协作组，在2004年对11个省（区）的17个县（市、旗）18个克山病监测点开展克山病病情监测工作，现将监测结果汇总分析如下。 资料与方法 1. 资料来源 汇总资料来自参加全国病克山病监测工作的黑龙江、吉林、内蒙古、河北、河南、山东、陕西、四川、云南、甘肃、辽宁11个省（市、区）的13个协作组成员单位。 2. 监测方法 协作组各成员单位按《》）[1]《》[2]，对监测点区居民进行检诊：制表、登记、查体、描12导联心电图、疑似病人摄2米后前位X线胸片[3]；随访2003年在册的克山病病人，了解病情转归。对克山病发病相关因素进行调查，发硒检测采用2，3—二氨基萘荧光法