摘要
目的掌握2004年全国克山病患病及发病趋势。方法根据《克山病监测》标准(WS/T78-1996)及《克山病诊断标准》(GB17021-1997)对监测点区居民进行普查,随访2003年在册的克山病病例,对克山病发病相关因素进行调查。结果18个监测点区潜在型、慢型克山病检出率分别为3.5%和0.7%,估计全国有491万￣600万克山病病例,其中慢型克山病患者65万￣117万。潜在型、慢型克山病发病率分别为1.8‰和0.1‰,估计新发潜在型13万～39万例,新检出慢型病例最高可达4.3万例。人均发硒0.365mg/kg。粮硒平均0.020mg/kg。结论克山病仍然是一个严重的地方性公共卫生问题,工作重点应放在克山病监测、患者管理和硒预防等方面。
Objective To study the tendency of prevalence and incidence of Keshan disease (KD) in China.Methods Based on the Standard of Keshan Disease Surveillance (WS/T 78-1996) and the Standard of Diagnosis ofKeshan Disease (GB 17021-1997), the residents in 18 surveillance sites were surveyed. The registered KD patientswere followed up. Some factors potentially related to KD were also investigated. Results The prevalence of latent andchronic KD was 3.5% and 0.7% respectively. The estimated KD patients totaled up to 4.91 to 6.00 millions, amongwhom 650 to 1 170 thousands were chronic KD patients. The incidence of latent and chronic KD was 1.8‰ and 0.1‰,respectively. The estimated new cases of latent patients were 130 ￣ 390 thousands, and the chronic patients were up to43 thousands per year. The average level of selenium in hair of the people surveyed was 0.365 mg/kg, while it was0.020 mg/kg in food. Conclusions Keshan disease is still a serious issue of endemic public health. Surveillance,management of chronic KD patients and supplementing selenium to people at high risk should be emphasized.
出处
《中国地方病学杂志》
CAS
CSCD
北大核心
2005年第4期401-403,共3页
Chinese Jouranl of Endemiology
基金
卫生部疾病控制司委托项目(2004)
关键词
克山病
监测
硒
诊断
Keshan disease
Surveillance
Selenium
Diagnosis
