摘要
通过大骨节病和克山病共存地区360名小学生手部 X 线、心电图和发、尿硒分析,结果,干骺端病变检出率为16.16%,X 线异常率为37.22%,心电图异常率为13.06%,大骨节病阳性体征和(或)X 线异常总检出率为56.11%;异常心电图与异常 X 线、阳性体征和(或)X 线征符合率分别为53.19%和72%.心电图和 X线2项检出率呈显著正相关关系;心电图、干骺端病变检出率与发、尿硒呈负相关关系.本文结果结合文献报道低硒地区有单独大骨节病、克山病存在的事实,提示病区不同人体硒水平可造成发、尿硒含量与心电图、干骺端病变检出率间有相关关系,也使心电图与 X 线2项检出率间有相关关系。不能单从两病共存地区心电图、干骺端病变、发尿硒间这种相关关系及心电图和 X 线有较高符合率,说低硒是大骨节病、克山病的共同病因,也不能说大骨节病和克山病是同病异症。
Finger X-ray and ECG in 360 pupils from both Kashin-Beck disease and Keshan disease affected areaswere carried out,and their hair and urinary seleniumcontents were determined also.Results showed thatmetaphyseal detected rate of finger X-ray was16.16%,X-ray abnormal rate 37.22%,ECG abnormalrate 13.06% and the detected rate of Kashin-Beck dis-ease positive signs and/or X-ray sings 56.11%.Thecoincidental rate of abnormal ECG with the abnormalX-ray and the positive sings and.or X-ray ofKashin-Beck disease were 5319% and 72%,respectively.There was significant positive correlation between ECGabnormal rate and two detected rates of X-ray.therewas negctive correlation between ECG withmetaphyseal detected rate and selenium content of hairand urine.Because Kashin-Beck disease and Keshandisease alone exist in the low selenium districtit,it cannot be said that low selenium level was the cause ofKashin-Beck disease and Keshan disease,even thoughselenium level and ECG and metaphyseal deteced ratewere significant rrelation.It can not be said also that Kashin-Beck disease and Keshan disease are adiseae.Different selenium level leaded to their correla-tion with each other.
出处
《西安医科大学学报》
CSCD
1989年第4期354-357,共4页
Journal of Xi'an Medical University(Chinese)
关键词
大骨节病
克山病
心电图
发硒
尿硒
Kashin-Beck disease
Keshan disease
X-ray metaphyseal change
ECG
Hair selenium
Urinary
selenium