中国地方病学杂志
中國地方病學雜誌
중국지방병학잡지
CHINESE JOURNAL OF ENDEMIOLOGY
2008年
4期
431-433
,共3页
克山病%流行病学%数据收集
剋山病%流行病學%數據收集
극산병%류행병학%수거수집
Keshan disease%Epidemiology%Data collection
目的 探讨四川省冕宁县克山病在高发年和低发年的流行特征,为防治工作提供科学的参考依据.方法 采用描述流行病学方法,收集以往病历资料,将克山病在流行(高发)与散发(低发)年度的发病情况进行对比.结果 在高发年,克山病存在家庭多发,占12%(6/50);存在季节高发,5-9月占全年发病总数的78%(39/50).病例发生循环功能障碍(奔马律、肺部啰音、颈静脉怒张、口唇发绀)的程度高发年较低发年重(X2=8.53,P<0.01).平均发病年龄高发年为(4.07±1.46)岁,低发年为(6.11±2.71)岁,发病年龄后移;高发和低发年发病类型构成明显不同(X2=40.68,P<0.01),慢型在高发年占22.85%(707/3094),在低发年占46.09%(53/115),慢型所占比例增加.结论 进一步做好现阶段克山病流行病学研究工作,提高诊断和治疗及管理水平,是当前克山病防治科研工作的一项重要内容.
目的 探討四川省冕寧縣剋山病在高髮年和低髮年的流行特徵,為防治工作提供科學的參攷依據.方法 採用描述流行病學方法,收集以往病歷資料,將剋山病在流行(高髮)與散髮(低髮)年度的髮病情況進行對比.結果 在高髮年,剋山病存在傢庭多髮,佔12%(6/50);存在季節高髮,5-9月佔全年髮病總數的78%(39/50).病例髮生循環功能障礙(奔馬律、肺部啰音、頸靜脈怒張、口脣髮紺)的程度高髮年較低髮年重(X2=8.53,P<0.01).平均髮病年齡高髮年為(4.07±1.46)歲,低髮年為(6.11±2.71)歲,髮病年齡後移;高髮和低髮年髮病類型構成明顯不同(X2=40.68,P<0.01),慢型在高髮年佔22.85%(707/3094),在低髮年佔46.09%(53/115),慢型所佔比例增加.結論 進一步做好現階段剋山病流行病學研究工作,提高診斷和治療及管理水平,是噹前剋山病防治科研工作的一項重要內容.
목적 탐토사천성면저현극산병재고발년화저발년적류행특정,위방치공작제공과학적삼고의거.방법 채용묘술류행병학방법,수집이왕병력자료,장극산병재류행(고발)여산발(저발)년도적발병정황진행대비.결과 재고발년,극산병존재가정다발,점12%(6/50);존재계절고발,5-9월점전년발병총수적78%(39/50).병례발생순배공능장애(분마률、폐부라음、경정맥노장、구진발감)적정도고발년교저발년중(X2=8.53,P<0.01).평균발병년령고발년위(4.07±1.46)세,저발년위(6.11±2.71)세,발병년령후이;고발화저발년발병류형구성명현불동(X2=40.68,P<0.01),만형재고발년점22.85%(707/3094),재저발년점46.09%(53/115),만형소점비례증가.결론 진일보주호현계단극산병류행병학연구공작,제고진단화치료급관리수평,시당전극산병방치과연공작적일항중요내용.
Objectives Understanding the characteristic changes of Keshan disease (KD) in different epidemic period to provide reference basis for prevention and teatment. Methods On the basis of medical record as fundamental element, the relative conditions of Keshan disease's prevailing and spreading period were compared. Results In high incidence years, familial aggregation [accounted for 12%(6/50)] and seasonal aggregation were found, and KD cases occurred mainly from May to September, which was 78% (39/50)of the total cases in the whole year. Circulatory dysfunction(gallop rhythm, pulmonary role, jugular venous engorgement, cyanosis of lips) was more severe in high incidence years than that in low incidence years(X2=8.53,P<0.01). The average age of incidence was (4.07±1.46) years old in high incidence years and (6.11±2.71) years old in low incidence years. The type constitution in high incidence years was significantly different from that in low incidence years (X2=40.68, P<0.01), and chronic type of KD accounted for 22.85%(707/3094),46.09%(53/115), respectively, in high and low incidence years. Conclusions Making a further research of seizure of disease, and improving diagnosis and cure management level are also the important content for prevention and cure research work of Keshan disease at right time.
