CAJ | 학술논문

目的调查山东省莒县克山病病情及发病相关因素.方法 2012年,在山东省莒县克山病病区棋山镇、安庄镇及龙山镇,采用随机数字表法,各选择1个自然村作为调查点,以全年龄组常住居民为观察对象,进行临床查体及描记心电图,对可疑克山病病例拍摄X线胸片;每个调查点采集调查对象发样15份,应用荧光法进行硒含量测定;并对居民经济收入及人均粮食占有量进行问卷调查.结果 3个调查点共调查925人,检出慢型和潜在型克山病27例,总检出率为2.92％.共描记心电图925份,检出异常心电图158份,异常检出率为17.08％.共拍摄X线胸片11例,其中心脏增大5例.共检测发样45份,发硒含量为(0.430±0.062)mg/kg.调查点人均经济收入为9 561元,人均粮食占有量为820 kg.结论莒县克山病病情处于低发稳定态势,基本达到了克山病控制水平.
목적 조사산동성거현극산병병정급발병상관인소.방법 2012년,재산동성거현극산병병구기산진、안장진급룡산진,채용수궤수자표법,각선택1개자연촌작위조사점,이전년령조상주거민위관찰대상,진행림상사체급묘기심전도,대가의극산병병례박섭X선흉편;매개조사점채집조사대상발양15빈,응용형광법진행서함량측정;병대거민경제수입급인균양식점유량진행문권조사.결과 3개조사점공조사925인,검출만형화잠재형극산병27례,총검출솔위2.92％.공묘기심전도925빈,검출이상심전도158빈,이상검출솔위17.08％.공박섭X선흉편11례,기중심장증대5례.공검측발양45빈,발서함량위(0.430±0.062)mg/kg.조사점인균경제수입위9 561원,인균양식점유량위820 kg.결론 거현극산병병정처우저발은정태세,기본체도료극산병공제수평.
Objective To investigate the current situation and relevant factors related to the onset of Keshan disease (KSD) in Ju County of Shandong Province.Methods In 2012,one natural village was selected by means of random number table as the investigating site in Qishan,Anzhuang and Longshan towns,respectively,in KSD endemic areas of Ju County.Permanent residents of all age groups were taken as observation subjects.Then,clinical examination including electrocardiography (ECG) and X-ray for suspected patients was carried out.Fifteen hair samples were collected in every investigating site for detecting selenium content by fluorescence method.At the same time,economic income and per capita share of grain were investigated.Results There were 925 residents investigated in the 3 investigation sites and 27 cases of KSD were found; the total incidence rate was 2.92％.Among the 925 residents investigated,158 cases showed abnormal ECG,and total incidence of abnormal ECG was 17.08％.Among 11 X-ray films,5 cases of cardiac enlargement were found.The selenium content of hair was (0.430 ± 0.062) mg/kg; the average economic income was 9 561 yuan,and the per capita share of grain was 820 kg.Conclusions The incidence rate of KSD in Ju County is low and steady.Keshan disease is controlled in Ju County.