CAJ | 학술논문

目的对比观察山东省莒县克山病病区居民和非病区城镇居民心电图变化情况,为克山病防治提供科学依据.方法 2013年,在山东省莒县克山病病区抽取桑园、安庄、碁山、龙山4个乡(镇),每个乡(镇)选择1个病区村,每个村抽取常住居民至少200人;莒县非病区城区共有36个居民小区,在东、西、南、北4个方位各抽取1个居民小区,每个居民小区抽取常住居民至少200人作为对照组,对全部抽取居民进行心电图检查.克山病诊断参照《克山病诊断标准》(WS/T 210-2011).结果在克山病病区,共进行心电图检查964例,检出异常心电图143例,总异常检出率为14.83％;城镇居民心电图检查926例,检出异常心电图78例,总异常检出率为8.42％,两组比较差异有统计学意义(x2=18.80,P＜ 0.01).克山病病区居民异常心电图中符合《克山病诊断标准》8项异常心电图改变的有93例,异常检出率为9.65％;城镇居民则有37例,异常检出率4.00％,病区居民异常检出率明显高于非病区城镇居民(x2=23.55,P＜0.01).结论山东省莒县克山病病区居民处于高异常心电图检出状态,仍受克山病致病因子的威胁,应进一步加强克山病防控.
목적 대비관찰산동성거현극산병병구거민화비병구성진거민심전도변화정황,위극산병방치제공과학의거.방법 2013년,재산동성거현극산병병구추취상완、안장、기산、룡산4개향(진),매개향(진)선택1개병구촌,매개촌추취상주거민지소200인;거현비병구성구공유36개거민소구,재동、서、남、북4개방위각추취1개거민소구,매개거민소구추취상주거민지소200인작위대조조,대전부추취거민진행심전도검사.극산병진단삼조《극산병진단표준》(WS/T 210-2011).결과 재극산병병구,공진행심전도검사964례,검출이상심전도143례,총이상검출솔위14.83％;성진거민심전도검사926례,검출이상심전도78례,총이상검출솔위8.42％,량조비교차이유통계학의의(x2=18.80,P＜ 0.01).극산병병구거민이상심전도중부합《극산병진단표준》8항이상심전도개변적유93례,이상검출솔위9.65％;성진거민칙유37례,이상검출솔4.00％,병구거민이상검출솔명현고우비병구성진거민(x2=23.55,P＜0.01).결론 산동성거현극산병병구거민처우고이상심전도검출상태,잉수극산병치병인자적위협,응진일보가강극산병방공.
Objective To provide a scientific basis for prevention of Keshan disease by observing the changes of electrocardiogram in residents from Keshan disease area and urban residents in Ju County.Method In 2013,four countries (towns) of Sangyuan,Anzhuang,Qishan and Longshan were selected as the investigation sites across the Keshan disease areas in Ju County of Shandong Province,one village was selected in each country (town),no less than 200 people were chosen from each village.There were 36 residential communities in urban area in Ju County,one residential community was selected from 4 positions (east,west,south and north) in urban area,no less than 200 non-endemic urban residents were chosen from each residential community as control,the electrocardiogram examination was conducted.According to the "Keshan Disease Diagnostic Standard" (WS/T 210-2011),Keshan disease was diagnosed.Results Among the 964 inhabitants investigated in Keshan disease area,143 cases showed abnormal electrocardiogram and the detection rate was 14.83％;in the 926 cases of urban electrocardiogram,78 cases showed abnormal electrocardiogram,abnormal rate was 8.42％,the difference was statistically significant (x2 =18.80,P ＜ 0.01).There were 93 cases who met the 8 Keshan disease diagnostic criteria of abnormal electrocardiogram changes in the Keshan disease areas,abnormal rate was 9.65％;while there were 37 cases in urban residents,abnormal rate was 4.00％,the difference was statistically significant (x2 =23.55,P ＜ 0.01).Conclusion These residents who have lived in Keshan disease endemic areas have a higher rate of abnormal electrocardiogram in Ju County of Shandong Province,they are still threatened by the causative factors of Keshan disease,and the authority should strengthen the prevention measures of Keshan disease.