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目的查清扶风县非克山病病区扩张型心肌病的病情现状,作为克山病病区的病情是否达到了控制以至消除水平的参考,对病区克山病的防治效果进行科学评估和为修订克山病控制标准提供依据。方法按照“陕西省非克山病病区扩张型心肌病病情调查方案”的内容和要求,采用流行病学调查和临床检查结合的方法确诊病人,得到患病率和发病率指标。结果调查两个村891人,经由陕西省地方病研究所专家确诊,检出扩心病例数5例,类潜在型克山病1例,扩心病新发病人0例,扩心病患病率为0.56%;类潜在型克山病患病率为0.11%,扩心病的发病率为0,反映出我县扩张型心肌病的患病率较高。结论扩心病病因不明,本次调查得到的结论仅能反映目前的患病情况,可以为克山病区防治效果科学评估和修订克山病控制标准提供一定参考,但要得到人群自然发病和患病数据,建议做更大规模和更长期的观察。
Objective To find out the status quo of dilated cardiomyopathy in non-Keshan disease in Fufeng County as a reference for the control and even elimination of Keshan’s disease, and to conduct a scientific assessment of the prevention and treatment of Keshan disease Keshan disease for the revision of the control standards provide the basis. Methods According to the content and requirements of the program of investigation on the condition of dilated cardiomyopathy in non-keshan disease in shanxi province, the patients were diagnosed by epidemiological investigation and clinical examination, and the prevalence and morbidity rate were obtained. Results A total of 891 people in two villages were investigated. Five cases of expanding heart disease, 1 case of latent Keshan disease, 0 case of new onset of heart disease and 0 case of heart disease were diagnosed by experts from Shaanxi Institute of Endemic Diseases. %; The prevalence of latent Keshan disease was 0.11%, the incidence of dilatation disease was 0, reflecting the higher prevalence of dilated cardiomyopathy in our county. Conclusions The etiology of heart disease is unknown. The findings of this survey can only reflect the current prevalence. It can provide scientific reference for the prevention and control of Keshan disease, and provide some reference for the revision of Keshan disease control standards. However, Disease data, it is recommended to do more large-scale and longer-term observation.