中华地方病学杂志
中華地方病學雜誌
중화지방병학잡지
Chinese Journal of Endemiology
2015年
10期
761-764
,共4页
克山病%流行学%发病率
剋山病%流行學%髮病率
극산병%류행학%발병솔
Keshan disease%Epidemiology%Incidence rate
目的 了解1967-2012年楚雄市克山病的流行趋势,为克山病防治提供科学依据.方法 采用回顾性分析方法,收集、整理1967-2012年楚雄市克山病发病病例报告、死亡登记报表、克山病病情监测(调查)报表,以及成人克山病筛查(搜索)结果和2012年克山病患者情况,分析克山病流行趋势.结果 1967-2012年楚雄市克山病登记病例1 569例,累计死亡(病死)566例.1990-1994年儿童克山病总检出率为7.7％(226/2 953),其中潜在型克山病患者占97.3％(220/226).2005-2012年病区居民克山病总检出率为0.6％(44/7 174),其中潜在型克山病患者占70.5％(31/44),年龄＜15岁儿童占15.9％(7/44).1976-2008年病区儿童累计口服亚硒酸钠补硒313 551人次.从扩张性心肌病人中筛查出成人克山病患者151例(慢型克山病患者).2012年现患克山病患者112人,其中＜15岁的儿童占5.4％(6/112).楚雄市克山病流行期呈现从以亚急型克山病为主到以慢型克山病为主,再到以潜在型克山病为主缓慢过渡;发病年龄从以小儿(＜6岁)为主到以儿童(＜15岁)为主,再到以成人为主推移的特点.结论 楚雄市克山病已达到基本控制标准,但儿童与成人克山病患者长期并存,致病因子(因素)还没有得到根本消除,仍需做好病情监测和健康促进工作.
目的 瞭解1967-2012年楚雄市剋山病的流行趨勢,為剋山病防治提供科學依據.方法 採用迴顧性分析方法,收集、整理1967-2012年楚雄市剋山病髮病病例報告、死亡登記報錶、剋山病病情鑑測(調查)報錶,以及成人剋山病篩查(搜索)結果和2012年剋山病患者情況,分析剋山病流行趨勢.結果 1967-2012年楚雄市剋山病登記病例1 569例,纍計死亡(病死)566例.1990-1994年兒童剋山病總檢齣率為7.7％(226/2 953),其中潛在型剋山病患者佔97.3％(220/226).2005-2012年病區居民剋山病總檢齣率為0.6％(44/7 174),其中潛在型剋山病患者佔70.5％(31/44),年齡＜15歲兒童佔15.9％(7/44).1976-2008年病區兒童纍計口服亞硒痠鈉補硒313 551人次.從擴張性心肌病人中篩查齣成人剋山病患者151例(慢型剋山病患者).2012年現患剋山病患者112人,其中＜15歲的兒童佔5.4％(6/112).楚雄市剋山病流行期呈現從以亞急型剋山病為主到以慢型剋山病為主,再到以潛在型剋山病為主緩慢過渡;髮病年齡從以小兒(＜6歲)為主到以兒童(＜15歲)為主,再到以成人為主推移的特點.結論 楚雄市剋山病已達到基本控製標準,但兒童與成人剋山病患者長期併存,緻病因子(因素)還沒有得到根本消除,仍需做好病情鑑測和健康促進工作.
목적 료해1967-2012년초웅시극산병적류행추세,위극산병방치제공과학의거.방법 채용회고성분석방법,수집、정리1967-2012년초웅시극산병발병병례보고、사망등기보표、극산병병정감측(조사)보표,이급성인극산병사사(수색)결과화2012년극산병환자정황,분석극산병류행추세.결과 1967-2012년초웅시극산병등기병례1 569례,루계사망(병사)566례.1990-1994년인동극산병총검출솔위7.7％(226/2 953),기중잠재형극산병환자점97.3％(220/226).2005-2012년병구거민극산병총검출솔위0.6％(44/7 174),기중잠재형극산병환자점70.5％(31/44),년령＜15세인동점15.9％(7/44).1976-2008년병구인동루계구복아서산납보서313 551인차.종확장성심기병인중사사출성인극산병환자151례(만형극산병환자).2012년현환극산병환자112인,기중＜15세적인동점5.4％(6/112).초웅시극산병류행기정현종이아급형극산병위주도이만형극산병위주,재도이잠재형극산병위주완만과도;발병년령종이소인(＜6세)위주도이인동(＜15세)위주,재도이성인위주추이적특점.결론 초웅시극산병이체도기본공제표준,단인동여성인극산병환자장기병존,치병인자(인소)환몰유득도근본소제,잉수주호병정감측화건강촉진공작.
Objective To observe the epidemic trends of Keshan disease (KD) from 1967 to 2012 in Chuxiong City,in order to provide a scientific basis for prevention and control of the disease.Methods The data below was collected and analyzed with epidemiological method.KD cases reported through registration and the death case reported were collected in Chuxiong City from 1960 to 2012,also the reported monitoring results of KD and the adult KD screening results of dilated cardiac patients and mountain patients in 2012 were collected,then epidemic trends of KD was analysed comprehensively.Results There were 1 569 cases of KD registered from 1967 to 2012.There were 566 death cases of KD.The total prevalence rate of KD was 7.7％ (226/2 953) by monitoring children KD at the diseased areas of KD and the potential KD patients accounted for 97.3％ (220/226) from 1990 to 1994.The total prevalence rate of KD was 0.6％ (44/7 174) by surveillance at KD diseased areas from 2005-2012 and the potential KD patients accounted for 70.5％ (31/44),there were 7 children cases of KD under 15 years who accounted for 15.9％ from 2005 to 2012.Totally 313 551 children were given sodium selenium for supplying selenium from 1976 to 2008.Totally 151 cases of KD were found by screening from the patients with dilated cardiac patients since 1988 and they were all chronic KD patients.There were 112 cases of KD in 2012 and there were 6 children cases of KD under 15 years,which accounted for 5.4％.Chuxiong City Keshan disease epidemic presented from subacute Keshan disease to Keshan disease,to latent Keshan disease a slow transition;age from children (＜6 years) to children (＜15 years) to adult-oriented features.Conclusions The incidence and prevalence rate of KD has reached the basic control standards,but children KD is coexisting with adults KD.The pathogenic factors have not been eliminated,disease monitoring and health promotion should be carried out.
