中华地方病学杂志
中華地方病學雜誌
중화지방병학잡지
Chinese Journal of Endemiology
2015年
6期
437-439
,共3页
周素华%吴光海%牟标%石青
週素華%吳光海%牟標%石青
주소화%오광해%모표%석청
克山病%心电描记术%数据收集
剋山病%心電描記術%數據收集
극산병%심전묘기술%수거수집
Keshan disease%Electrocardiography%Data Collection
目的 掌握湖北省克山病病情流行趋势,为科学制订克山病的防治策略提供依据.方法 收集湖北省疾病预防控制中心按《全国克山病监测方案》要求进行的湖北省2007-2014年克山病病情调查数据,分析克山病病区监测对象一般情况,临床查体和心电图检测情况,可疑患者拍摄X线胸片和计算心胸比例情况等.结果 2007-2014年共监测4 822人,其中女性(2 589人,占53.69％)多于男性(2 233人,占46.31％);15岁以下年龄组所占比例最大(52.47％,2 530/4 822),其次为55岁以上年龄组(19.14％,923/4 822);2011年心电图异常率最高(61.33％,268/437),2014年最低(5.61％,23/410).8年来只检出潜在型克山病患者,每年的检出率均低于3％,且有逐年降低的趋势,2012-2014年未检出克山病患者.共对91位可疑患者拍摄了胸片,心胸比例正常者居多(63.74％,58/91),除l位心胸比例中度增大者外,其余32例心胸比例增大者均为检出的潜在型克山病患者.结论 湖北省克山病病情已处于平稳低发态势,但病情监测和健康教育仍必不可少,以防病情反复.
目的 掌握湖北省剋山病病情流行趨勢,為科學製訂剋山病的防治策略提供依據.方法 收集湖北省疾病預防控製中心按《全國剋山病鑑測方案》要求進行的湖北省2007-2014年剋山病病情調查數據,分析剋山病病區鑑測對象一般情況,臨床查體和心電圖檢測情況,可疑患者拍攝X線胸片和計算心胸比例情況等.結果 2007-2014年共鑑測4 822人,其中女性(2 589人,佔53.69％)多于男性(2 233人,佔46.31％);15歲以下年齡組所佔比例最大(52.47％,2 530/4 822),其次為55歲以上年齡組(19.14％,923/4 822);2011年心電圖異常率最高(61.33％,268/437),2014年最低(5.61％,23/410).8年來隻檢齣潛在型剋山病患者,每年的檢齣率均低于3％,且有逐年降低的趨勢,2012-2014年未檢齣剋山病患者.共對91位可疑患者拍攝瞭胸片,心胸比例正常者居多(63.74％,58/91),除l位心胸比例中度增大者外,其餘32例心胸比例增大者均為檢齣的潛在型剋山病患者.結論 湖北省剋山病病情已處于平穩低髮態勢,但病情鑑測和健康教育仍必不可少,以防病情反複.
목적 장악호북성극산병병정류행추세,위과학제정극산병적방치책략제공의거.방법 수집호북성질병예방공제중심안《전국극산병감측방안》요구진행적호북성2007-2014년극산병병정조사수거,분석극산병병구감측대상일반정황,림상사체화심전도검측정황,가의환자박섭X선흉편화계산심흉비례정황등.결과 2007-2014년공감측4 822인,기중녀성(2 589인,점53.69％)다우남성(2 233인,점46.31％);15세이하년령조소점비례최대(52.47％,2 530/4 822),기차위55세이상년령조(19.14％,923/4 822);2011년심전도이상솔최고(61.33％,268/437),2014년최저(5.61％,23/410).8년래지검출잠재형극산병환자,매년적검출솔균저우3％,차유축년강저적추세,2012-2014년미검출극산병환자.공대91위가의환자박섭료흉편,심흉비례정상자거다(63.74％,58/91),제l위심흉비례중도증대자외,기여32례심흉비례증대자균위검출적잠재형극산병환자.결론 호북성극산병병정이처우평은저발태세,단병정감측화건강교육잉필불가소,이방병정반복.
Objective To study the disease trend of Keshan in Hubei Province and provide a basis for scientifically making control and prevention strategy.Methods According to "Chinese Surveillance Plan of Keshan Disease",physical examination and electrocardiogram were done for surveillance subjects and suspected patients were filmed chest X-ray in Keshan disease areas.Results Totally 4 822 people were monitored from 2007-2014.The numbers of females (2 589,53.69％) were more than those of the males (2 233,46.31％).The group of people under the age of 15 accounted for 52.47％ (2 530/4 822) which was higher than that of the group over the age of 55 (19.14％,923/4 822).The rate of electrocardiographic abnormality was the highest in 2011 (61.33％,268/ 437) and the lowest in 2014 (5.61％,23/410).In the eight years,only potential type of Keshan disease patients were detected,and the incidences from 2007 to 2014 were all lower than 3％ and had a decreasing trend yearly.No Keshan patient was detected in 2012-2014.Ninety-one suspected cases were taken chest X-ray.Most of the suspected cases (63.74％,58/91) had normal cardiothoracic ratio.The cardiothoracic ratio increased,excepting one,other 32 were all potential type Keshan disease patients.Conclusions The disease trend of Keshan disease in Hubei Province is weak.Nevertheless,surveillance and health education are indispensable,in case the disease relapses.
