CAJ | 학술논문

目的分析黑龙江省五大连池市克山病病情监测结果,掌握该地区克山病病情现状.方法 2009年,在五大连池市龙镇开发村克山病监测点,以全部常住人口为监测对象,进行常规临床体检、描记12导联心电图,对疑似克山病患者摄X线胸片.克山病诊断依据《克山病诊断标准》(WS/T 210-2011).结果在开发村共调查了795人,其中男性397人,女性398人.共检出克山患者18例,其中潜在型克山病患者13例,慢型克山病患者5例,总检出率为2.27％(18/795),年龄范围为24 ～ 83岁.监测点年内无急型、亚急型新发克山病发生.检出异常心电图29例,检出率为3.65％(29/795).其中18例克山病患者均为异常心电图,以ST-T改变和完全性右束支传导阻滞为主.检出男性克山病患者6例,检出率为1.52％(6/397);检出女性克山病患者12例,检出率为3.01％(12/398).结论五大连池市仍存在潜在型和慢型克山病病例,必须坚持进行克山病监测,掌握病情变化动态,有针对性地开展克山病防治.
목적 분석흑룡강성오대련지시극산병병정감측결과,장악해지구극산병병정현상.방법 2009년,재오대련지시룡진개발촌극산병감측점,이전부상주인구위감측대상,진행상규림상체검、묘기12도련심전도,대의사극산병환자섭X선흉편.극산병진단의거《극산병진단표준》(WS/T 210-2011).결과 재개발촌공조사료795인,기중남성397인,녀성398인.공검출극산환자18례,기중잠재형극산병환자13례,만형극산병환자5례,총검출솔위2.27％(18/795),년령범위위24 ～ 83세.감측점년내무급형、아급형신발극산병발생.검출이상심전도29례,검출솔위3.65％(29/795).기중18례극산병환자균위이상심전도,이ST-T개변화완전성우속지전도조체위주.검출남성극산병환자6례,검출솔위1.52％(6/397);검출녀성극산병환자12례,검출솔위3.01％(12/398).결론 오대련지시잉존재잠재형화만형극산병병례,필수견지진행극산병감측,장악병정변화동태,유침대성지개전극산병방치.
Objective To analyze the surveillance results and grasp the situation of Keshan disease in Wudalianchi city Heilongjiang province.Methods In 2009,Kaifa village was selected as the surveillance point in Wudalianchi city,total resident population were monitored by routine clinical examination and 12-lead electrocardiogram(ECG) tracing.Suspected cases with Keshan disease were taken chest X-ray,and Keshan disease was diagnosed based on "Keshan Disease Diagnostic Criteria" (WS/T 210-2011).Results A total of 795 people were investigated,including 397 males and 398 females.Eighteen people were found to be the patients with Keshan disease,of which 13 cases were latent Keshan patients,5 cases were chronic Keshan patients.The overall detection rate was 2.27％,aged 24 to 83 years old.There was no acute type and subacute type of Keshan disease in the surveillance point.Twenty nine cases of abnormal ECG were detected,the detection rate was 3.65％ (29/795),of which the 18 patients with Keshan disease were all had abnormal ECGs,mainly taken the form of ST-T changes and completely right bundle branch blocked.Six cases of male patients with Keshan disease were detected,the detection rate was 1.52％ (6/397); 12 cases of female patients with Keshan disease were detected,the detection rate was 3.01％ (12/398).Conclusions There is still potential and chronic Keshan disease cases in Wudalianchi city.We must keep on the monitoring on Keshan disease,master the dynamical changes of the disease conditions,and carry out the targeted prevention and control of Keshan disease.