辽宁省2015年克山病病情监测分析

Analysis report of Keshan disease surveillance in Liaoning Province in 2015

目的调查辽宁省克山病病情,为科学制定克山病防治策略提供依据。方法按全国克山病监测方案要求,辽宁省2015年选取2个病区县开展克山病病例搜索,根据病例搜索结果选取病例集中的4个病区村作为监测点开展病情调查。对监测点全部常住人口进行问卷调查、临床查体、心电图检查,疑似克山病病例拍摄后前位2 m胸部正位X线片和心脏超声检查,依据《克山病诊断》(WS/T210-2011)对疑似克山病病例进行诊断。结果共调查1 798人,检出潜在型克山病5人,检出率为27.8/万,未检出急型、亚急型和慢型克山病病例。检出心电图异常282人,心电异常率为15.7%。拍摄X线胸片5例,其中轻度增大2例。结论辽宁省克山病病情处于较低水平,但病情监测工作仍不能松懈。

Objective To investigate the Liaoning province Keshan disease（ KD） condition popular trend,provide the basis for scientific KD prevention and control strategy.Methods In accordance with the requirements for KD monitoring programme,selected two disease area counties in Liaoning province in 2015 to carry out KD cases search work,and selected cases according to the results of the case search concentration of 4 villages as monitoring stations in KD condition investigation. All the residents in surveillance sites were clinically examined and given 12-lead ECG tracings,suspected cases were taken cardiac ultrasonnd examination and anterior chest X-rays in the distance of 2 meters; Diagnosis of KD was based on Keshan Disease Diagnostic Criteria（ WS / T210-2011）.Results Among 1 798 investigated residents,5 cases of latent KD were found,and the incidence rate was 27.8 / 10000（ 5 / 1798）,did not check out the acute,subacute and slow KD cases.The abnormal electrocardiogram was 282 people,the incidence of abnormal electrocardiogram was 15.7%（ 282 / 1798）.X-ray chest radiograph in 5 cases,including mild increase in 2cases.Conclusion KD illness of Liaoning province is at lower levels,but KD monitoring is essential.