河南省克山病调查与分析

目的掌握河南省克山病病情现状。方法以灵宝市、卢氏县历史上克山病发病较重的乡、村作为调查点,以3岁及以上全体居民作为调查对象,进行临床检查、描记心电图、拍摄X线胸片及膳食结构调查。结果两地共调查1894人,平均普查率为80．60％;检出慢型克山病患者10人、潜在型克山病患者27人;心电图测定1 894人,心电图异常190人,检出率为10．03％;潜在型患者患病由原来的10岁组提高到目前的20岁组,慢型患者患病由原来的10岁组提高到目前的40岁组;慢型、潜在型患者以女性为主;与1983、1995年比较,病区居民主食中小麦、大米及副食(鱼肉、蔬菜、油类)食用量增加,居民生活水平有所提高。结论河南省克山病病区病情总体稳定,但仍有相当数量的患者,提示二级预防工作量还很大。

The surveys and analysis of Keshan disease in Henan Province

Objective To investigate the status quo of Keshan disease of Henna Province. Methods Villages of Lingbao City and Lushi County with serious prevalence of the disease in history were surveyed . Local residents older than three years were enrolled into the surveillance to undergo physical examination, electrocardiography, chest plain film and the analysis of food components. Results There had been 1 894 people surveyed in two county, accounting for 80.60% of the population. 10 chronic and 27 latent Keshan disease cases were detected out. Among 1 894 people undergoing electrocardiogram, 190 had abnormal ECG with a detecting rate of 10.03%. Comparing to the previous data,latent Keshan disease changed from people of 10 years to 20 years old, and chronic Keshan disease shifted from people of 10 years to 40 years old. The most of the chronic and latent Keshan disease cases were female patients. Local residents consumed more staple food of wheat and rice and more non-staple food of meat, fish, vegetable, etc, than before, their living quality had been improved. Conclusions The status quo of Keshan disease of Henna Province is stabilizing, but there are certain cases of chronic and latent Keshan disease existing, indicating there are a great deal of work to do to prevent Keshan disease.