辽宁省克山病病区与非病区居民心电图对比分析

发布时间：2018-01-29 20:38

本文关键词： 克山病心电图异常率　出处：《中国地方病防治杂志》2017年03期 　论文类型：期刊论文

【摘要】：目的观察克山病病区居民与非病区居民心电图的变化情况,为科学评估克山病防控效果提供依据。方法在辽宁省克山病病区选取4个病区村作为调查点,同时在非病区选取自然环境和生产生活方式与克山病病区相似的4个村做为调查点,调查点内全部常住居民做为调查对象。对调查点内常住居民进行问卷调查、临床查体并描记12导联心电图,并对调查对象心电图改变进行对比分析。结果在病区共描记心电图1 728例,检出异常心电图424例,异常心电图检出率为24.5%;在非病区共描记心电图1 865例,检出异常心电图314例,异常心电图检出率为16.8%。两组比较差异有统计学意义。结论克山病病区居民心电图异常检出率高于非病区居民,说明病区依然有克山病的致病因子影响居民的健康,因此应继续加强克山病监测工作。
[Abstract]:Objective to observe the changes of electrocardiogram (ECG) of residents and non-residents in Keshan disease area and to provide scientific basis for evaluating the effect of prevention and control of Keshan disease. Methods four villages in Keshan disease area of Liaoning Province were selected as investigation points. At the same time, the natural environment and production and life style of 4 villages similar to Keshan disease area were selected as investigation points, and all the resident residents in the investigation site were selected as the survey objects. Results 1 728 cases of electrocardiogram were recorded and 424 cases of abnormal electrocardiogram were detected. The detection rate of abnormal ECG was 24.5. The electrocardiogram (ECG) was recorded in 1 865 cases and abnormal ECG was detected in 314 cases. The detection rate of abnormal ECG was 16.8.The difference between the two groups was statistically significant. Conclusion the abnormal detection rate of ECG in residents in Keshan disease area is higher than that in non-endemic area. It is suggested that Keshan disease still has pathogenic factors affecting the health of residents, so we should continue to strengthen the monitoring of Keshan disease.
【作者单位】：辽宁省疾病预防控制中心;
【分类号】：R542.3
【正文快照】： 克山病是一种病因尚不完全清楚的地方性心肌病,尤其是潜在型克山病一般无自觉症状,多在克山病病情监测中发现,通常心电图的改变是其主要特征。心电图是克山病病情监测和克山病病例诊断最常用的检查方法,能够有效筛查和帮助临床早期发现和诊断克山病,是克山病诊断的一项重要指

【参考文献】