中国地方病学杂志
中國地方病學雜誌
중국지방병학잡지
CHINESE JOURNAL OF ENDEMIOLOGY
2011年
3期
325-327
,共3页
克山病%心电描记术%X线%监测
剋山病%心電描記術%X線%鑑測
극산병%심전묘기술%X선%감측
Keshan disease%Electrocardiography%X-rays%Surveillance
目的 掌握甘肃省平凉市克山病病情现状及消长趋势,评估防控效果,为今后克山病防治提供科学依据.方法 2007-2009年,按<中央补助地方公共卫生专项资金地方病防治项目克山病监测技术方案>及<克山病诊断标准>(GB 17021-1997),对甘肃省平凉市9个监测点的常住居民进行临床检查并描记心电图,拍摄患者和疑似病例X线胸片;采集儿童、男性成人和妇女的发样及其食用玉米、小麦样品,分别用2.3-二氨基萘荧光法进行含硒量测定.结果 3年共调查病区居民5846人,检出克山病247例,检出率为4.23%(247/5846).其中潜在型克山病214例,检出率为3.66%(214/5846);慢型克山病33例,检出率为0.56%(33/5846);无急型、亚急型克山病检出.检出异常心电图764例,检出率为13.07%(764/5846).对207例患者和疑似病例进行X线胸部摄片检查,心脏增大者80例,检出率为38.6%(80/207).共采集发样262份,发硒为(0.279±0.098)mg/kg.采集玉米样品9份,含硒量为(0.0079±0.0029)mg/kg;小麦31份,含硒量为(0.0104±0.0078)mg/kg.结论 甘肃省平凉市克山病病情总体处于稳定消退趋势,但病区仍有一定数量的潜在型、慢型克山病散在新发病例出现,提示病情监测、综合防治和现症病人的治疗管理仍是今后克山病防治的重点.
目的 掌握甘肅省平涼市剋山病病情現狀及消長趨勢,評估防控效果,為今後剋山病防治提供科學依據.方法 2007-2009年,按<中央補助地方公共衛生專項資金地方病防治項目剋山病鑑測技術方案>及<剋山病診斷標準>(GB 17021-1997),對甘肅省平涼市9箇鑑測點的常住居民進行臨床檢查併描記心電圖,拍攝患者和疑似病例X線胸片;採集兒童、男性成人和婦女的髮樣及其食用玉米、小麥樣品,分彆用2.3-二氨基萘熒光法進行含硒量測定.結果 3年共調查病區居民5846人,檢齣剋山病247例,檢齣率為4.23%(247/5846).其中潛在型剋山病214例,檢齣率為3.66%(214/5846);慢型剋山病33例,檢齣率為0.56%(33/5846);無急型、亞急型剋山病檢齣.檢齣異常心電圖764例,檢齣率為13.07%(764/5846).對207例患者和疑似病例進行X線胸部攝片檢查,心髒增大者80例,檢齣率為38.6%(80/207).共採集髮樣262份,髮硒為(0.279±0.098)mg/kg.採集玉米樣品9份,含硒量為(0.0079±0.0029)mg/kg;小麥31份,含硒量為(0.0104±0.0078)mg/kg.結論 甘肅省平涼市剋山病病情總體處于穩定消退趨勢,但病區仍有一定數量的潛在型、慢型剋山病散在新髮病例齣現,提示病情鑑測、綜閤防治和現癥病人的治療管理仍是今後剋山病防治的重點.
목적 장악감숙성평량시극산병병정현상급소장추세,평고방공효과,위금후극산병방치제공과학의거.방법 2007-2009년,안<중앙보조지방공공위생전항자금지방병방치항목극산병감측기술방안>급<극산병진단표준>(GB 17021-1997),대감숙성평량시9개감측점적상주거민진행림상검사병묘기심전도,박섭환자화의사병례X선흉편;채집인동、남성성인화부녀적발양급기식용옥미、소맥양품,분별용2.3-이안기내형광법진행함서량측정.결과 3년공조사병구거민5846인,검출극산병247례,검출솔위4.23%(247/5846).기중잠재형극산병214례,검출솔위3.66%(214/5846);만형극산병33례,검출솔위0.56%(33/5846);무급형、아급형극산병검출.검출이상심전도764례,검출솔위13.07%(764/5846).대207례환자화의사병례진행X선흉부섭편검사,심장증대자80례,검출솔위38.6%(80/207).공채집발양262빈,발서위(0.279±0.098)mg/kg.채집옥미양품9빈,함서량위(0.0079±0.0029)mg/kg;소맥31빈,함서량위(0.0104±0.0078)mg/kg.결론 감숙성평량시극산병병정총체처우은정소퇴추세,단병구잉유일정수량적잠재형、만형극산병산재신발병례출현,제시병정감측、종합방치화현증병인적치료관리잉시금후극산병방치적중점.
Objective To unveil the current situation and bends of Keshan disease in Pingliang city of Gansu province, to evaluate the outcome of related prevention and control measures, and to provide scientific basis for further prevention and treatment of the disease. Methods According to the "the central allowance local public health special funds endemic disease prevention programs grams mountain monitoring programme" and "the diagnostic criteria for Keshan disease" (GB 17021-1997), between 2007 and 2009, local residents from nine monitoring points in Pingliang city of Gansu province were clinically examined, and electrocardiography(ECG) tracings and Xray were taken of suspected cases. Corn, wheat samples and hair samples of children, adults and women were collected, and selenium content of these samples was determined by 2.3-2-amino-naphthalene fluorescence method. Results A total of 5846 residents were surveyed in 3 years, 247 cases of Keshan patients were detected, with a detection rate of 4.23%(247/5846), of which potential cases of Keshan disease 214, the detection rate was 3.66% (214/5846); chronic Keshan disease 33 cases, the detection rate was 0.56% (33/5846); no acute type and subacute Keshan disease detected. A total of 764 abnormal ECG cases were detected, and abnormal detection rate was 13.07%(764/5846). Two hundred and seven cases of suspected patients were examined by chest X-ray, 80 cardiac enlargement cases were detected, the detection rate was 38.6% (80/207). The 262 hair samples of children, adults and women were analyzed, hair selenium was (0.279 ± 0.098)mg/kg. Of the 9 corn and 31 wheat samples collected, corn selenium was (0.0079 ± 0.0029)mg/kg; wheat selenium was (0.0104 ± 0.0078)mg/kg. Conclusions Overall Keshan disease is in a stable and subsided trend in Pingliang city of Gansu province, but there are still a number of potential chronic types, sporadic new cases, suggesting that the disease monitoring, comprehensive prevention and treatment of the patients are the focus.
