2014-2015年四川省克山病调查结果分析

Survey on Keshan Disease in Sichuan,2014-2015

目的了解和掌握2014-2015年四川省克山病病区病情现状,为今后四川省克山病预防控制提供科学依据。方法按全国统一调查方案对四川省内54个病区县居民进行流行病学调查、临床查体、心电图,疑似克山病摄2 m后前位X线胸片及心脏超声检查。结果 54县(市)从调查点共调查62 973人,检出慢型和潜在型克山病共64例(检出率0.10%),其中慢型克山病14例(检出率0.02%),潜在型克山病50例(检出率0.08%),未发现急型和亚急型克山病例。结论四川省2014-2015年克山病病情低于2010年,已达到控制水平;中老年成为潜在型克山病的主要受威胁的对象,是今后监测及治疗工作的重点。

Objective To investigate the situation of Keshan disease（ KD） in endemic areas in Sichuan Province in 2014 and 2015 and provide evidence for prevention and treatment. Methods Following the national uniform surveillance program,an epidemiological investigation was conducted in 62,973 residents in 54 endemic counties by physical examination,ECG examination and,in suspected cases,frontal chest X- ray and heart ultrasonography. Results Chronic and latent KD was found in 64（ 0. 01%）. Chronic KD was found in14（ 0. 02%） and latent in 50（ 0. 08%）. No acute or sub- acute KD case was found. Conclusion The situation of KD in endemic areas in Sichuan Province was milder in 2014 and 2015 than in 2010. Middle- aged and aged people are the major victims of KD and thus the focus of surveillance and treatment in the future.