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目的掌握我县克山病病情现状和消长趋势,为研究预防控制克山病提供科学依据。方法按照《全国克山病监测方案》要求,参照历史上克山病病情较重的病区资料,对洛川县菩堤乡新城堡行政村居民进行克山病患病率及发病相关因素调查。结果共检诊506人,临床检诊率82.41%;心电图检查异常率10.67%,重点人群(3~14岁儿童)潜慢克检出率为0,非重点人群(15~70岁成人)检出率为0.79%。儿童发硒含量均值0.2658μg/g,居民主食粮硒均值0.018μg/g。结论目前本区有潜在型克山病病例检出。无急型、亚急型克山病发生,病情明显下降,总体处于稳中有降趋势。
Objective To grasp the current situation and the trend of Keshan disease in our county and provide a scientific basis for the study on prevention and control of Keshan disease. Methods According to the requirements of “National Keshan Disease Surveillance Program” and with reference to the history of Keshan Disease, the survey of the prevalence and incidence of Keshan disease among residents in New Castle Administrative Village, Bodhi Village, Luochuan County . Results A total of 506 patients were diagnosed with a clinical examination rate of 82.41%. The abnormal rate of electrocardiogram was 10.67%. The detection rate of latent cues in key population (children aged 3-14 years) was 0, and non-key group (15-70 years old) The rate is 0.79%. The mean value of selenium in children was 0.2658μg / g, and the average value of selenium in residents was 0.018μg / g. Conclusion Currently there are cases of Keshan disease detected in this area. No acute, subacute Keshan disease occurred, the disease decreased significantly, the overall trend in a steady decline.