克山病病情监测指标价值分析

Analysis of the values of surveillance indicators of Keshan disease

目的 探讨克山病病情监测指标的价值，为监测工作提供经济实用有价值的方法。方法 收集整理了自１９９０ 年至１９９７ 年克山病监测资料，将其对比分析。结果 把３～１４ 岁儿童做为监测群体易于操作，但有一定的局限性，把青壮年尤其是生育期妇女也列入监测范围更为合适。心电图异常改变如室性早搏、右束支传导阻滞、ＳＴ—Ｔ 改变和Ｘ 线胸片心胸比例异常改变具有较高的价值。发硒含量测定较水、土、粮食含硒量具有较高的价值。结论 把３～１４ 岁儿童和青壮年做为监测对象群体较合适；心电图和Ｘ 线胸片检查及发硒测定是克山病监测工作简便易行的可靠方法。

Objective To explore the values of surveillance indicators of Keshan disease and to supply the economic and practical method.Methods The surveillance data of Keshan disease (KSD) were collected and analysed from 1990 to 1997 years.Results Ventricular premature,right bundlh brance block,change of ST T,and X ray abnormal heart size are of higher value.The content of Se in hair is valuable than that of drinking water,soil and grain.Conclusions That child (from three to fourteen old) and adult (from fifteen to fourty five old) were selected as surveillance subjects are reasonable.The electrocardiogram (ECG),X ray examination and Se content determination in hair are reasonable methods in surveillance indicators of Keshan disease. [