论文部分内容阅读
目的通过分析2016年吉林省克山病监测项目病例搜索结果,掌握全省慢型克山病病情。方法按全国克山病监测方案要求,在18个病区县(市、区)进行病例搜索,依据《克山病诊断》(WS/T 210-2011)对疑似克山病病例进行诊断。结果第一轮搜索出心肌疾病397例,疑似克山病59例,慢型克山病638例,其中6例为新确诊;638例慢型克山病中男性115人,平均年龄为69.26岁,女性523人,平均年龄为68.69岁。第二轮搜索出心肌疾病376例,疑似克山病35例,慢型克山病508例,其中1例为新确诊;508例慢型克山病中男性91人,平均年龄为70.62岁,女性417人,平均年龄为71.07岁;慢克患者死亡65人,其中男性13人,平均死亡年龄为74.92岁,女性52人,平均死亡年龄为73.98岁。未搜索出急型、亚急型克山病病例。12个县达到消除标准,3个县达到控制标准,3个县未达控制标准。结论目前吉林省克山病病情处于稳定状态,但仍有新病例检出,全省近半数病区县未达到消除标准,病情监测工作仍不能松懈。应重视乡村行政区划改变和基层医疗技术薄弱对监测工作的影响。需要关注克山病患者老龄化引起的社会问题。
Objective To analyze the case-finding results of Keshan Disease Surveillance Project in Jilin Province in 2016, and to master the condition of chronic Keshan disease in the province. Methods According to the requirements of national Keshan disease surveillance program, case search was conducted in 18 ward counties (cities and districts) and the suspected Keshan disease cases were diagnosed according to “Keshan Disease Diagnosis” (WS / T 210-2011). Results The first round found 397 cases of myocardial disease, 59 cases of suspected Keshan disease, 638 cases of chronic Keshan disease, of which 6 cases were newly diagnosed. Among 638 cases of chronic Keshan disease, 115 were male, with an average age of 69.26 years , 523 females, with an average age of 68.69 years. The second round found 376 cases of myocardial disease, 35 cases of suspected Keshan disease, 508 cases of chronic Keshan disease, of which 1 case was newly diagnosed; 508 cases of chronic Keshan disease in 91 males, with an average age of 70.62 years, 417 women, with an average age of 71.07 years; 65 cases of slow grams of patients, including 13 males, the average age of death was 74.92 years, 52 were women, the average age of death was 73.98 years. Did not search out acute, subacute Keshan disease cases. 12 counties reached the elimination standard, 3 counties reached the control standard, 3 counties did not reach the control standard. Conclusion At present, Keshan disease in Jilin Province is in a stable condition, but there are still new cases detected. Nearly half of all the ward counties in the province have not met the elimination standard and the condition monitoring work can not be relaxed. Should pay attention to the changes of rural administrative divisions and grass-roots medical technology weakness of the monitoring work. Keshan disease needs to be concerned about the social problems caused by aging.