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目的观察河北省沽源县2004年克山病病情,评价和指导防治工作。方法在河北省沽源县长梁乡的2个克山病历史重病村设立监测点,全部常住人口均为监测对象,进行常规临床体检,描记12导联心电图,重点人群摄X线胸片,依据《克山病诊断标准》(GB17021-1997)诊断。结果①监测点年内无急型、亚急型克山病发生,检出潜在型克山病(潜克)32人,慢型克山病(慢克)6人,克山病检出率为7.47%,患病率为4.11%。45岁以上克山病病人占总数的84.21%。②2004年度,潜克治愈率10.53%,潜转慢率5.26%,慢转潜率36.36%。③监测点人群异常心电图检出率为28.09%;35￣74岁成年人高血压检出率为36.48%。结论河北省沽源县监测点克山病病情相对稳定。加强对克山病病人的生活指导及对慢型克山病病人的治疗是今后防治工作的重点。
Objective To observe the condition of Keshan disease in Guyuan County, Hebei Province in 2004, to evaluate and guide the prevention and treatment work. Methods Two surveillance sites were set up in Kailingsang County, Guanyuan County, Hebei Province. All the resident population were monitored, and routine clinical examination was performed. The 12-lead electrocardiogram and the key population were taken with X-ray, According to “Keshan disease diagnostic criteria” (GB17021-1997) diagnosis. Results ① No acute or subacute Keshan disease occurred during the monitoring period, 32 cases of latent Keshan disease (latent gram) and 6 chronic Keshan disease (chronic gram) were detected. The detection rate of Keshan disease was 7.47%, the prevalence was 4.11%. Keshan disease patients over the age of 45 accounted for 84.21% of the total. ② In 2004, the cure rate of sub-grams was 10.53%, the rate of slow-down was 5.26% and the rate of slow-turn was 36.36%. (3) The detection rate of abnormal electrocardiogram in monitoring population was 28.09%; the detection rate of hypertension in 35 ~ 74 years old adults was 36.48%. Conclusion Keshan disease in Guyuan County, Hebei Province was relatively stable. It is the focus of future prevention and treatment to strengthen the guidance of life for Keshan disease patients and the treatment of patients with chronic Keshan disease.