辽宁省2015年克山病病情监测分析

发布时间：2018-05-23 16:20

本文选题：克山病 + 监测　；参考：《中国地方病防治杂志》2017年01期

【摘要】：目的调查辽宁省克山病病情,为科学制定克山病防治策略提供依据。方法按全国克山病监测方案要求,辽宁省2015年选取2个病区县开展克山病病例搜索,根据病例搜索结果选取病例集中的4个病区村作为监测点开展病情调查。对监测点全部常住人口进行问卷调查、临床查体、心电图检查,疑似克山病病例拍摄后前位2 m胸部正位X线片和心脏超声检查,依据《克山病诊断》(WS/T210-2011)对疑似克山病病例进行诊断。结果共调查1 798人,检出潜在型克山病5人,检出率为27.8/万,未检出急型、亚急型和慢型克山病病例。检出心电图异常282人,心电异常率为15.7%。拍摄X线胸片5例,其中轻度增大2例。结论辽宁省克山病病情处于较低水平,但病情监测工作仍不能松懈。
[Abstract]:Objective to investigate the condition of Keshan disease in Liaoning province, and to provide scientific basis for the strategy of Keshan disease prevention. Methods according to the requirement of national Keshan disease surveillance program, two counties of Liaoning province were selected to carry out case search in 2015. According to the result of case search, 4 villages with concentrated cases were selected as monitoring points to carry out disease investigation. Questionnaire survey, clinical examination, electrocardiogram examination, 2 m chest X ray examination and echocardiography of suspected Keshan disease patients were carried out. According to the diagnosis of Keshan disease, the suspected cases of Keshan disease were diagnosed. Results A total of 1798 patients were investigated and 5 cases of latent Keshan disease were detected, the detection rate was 27.8 / 10 000. No acute type, subacute type and slow type of Keshan disease were detected. The abnormal ECG was detected in 282 patients, and the abnormal rate of ECG was 15.7. Chest radiographs were taken in 5 cases, of which 2 cases were slightly enlarged. Conclusion the condition of Keshan disease in Liaoning Province is at a low level, but the monitoring work can not be relaxed.
【作者单位】：辽宁省疾病预防控制中心;抚顺市疾病预防控制中心;辽宁省西丰县地方病防治所;
【分类号】：R542.3;R181.8

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