2021年四川省克山病病区和非病区心肌病检出情况分析

Analysis on the detection of cardiomyopathy in Keshan disease areas and non-Keshan disease areas of Sichuan Province in 2021

目的 调查四川省克山病病区和非病区的心肌病病例检出情况,为今后四川省克山病病区人群心肌病的防控提供科学依据。方法 2021年在克山病病区剑阁县和冕宁县、非克山病病区五通桥区和南部县选取调查村,由专业人士按统一的调查方案对调查村的常住人口开展心肌病调查,主要包括心电图异常率、心脏超声异常率及各类心肌病检出率等指标,调查所得数据使用SPSS 19.0统计软件中χ2检验进行统计分析,以P<0.05为差异有统计学意义。结果 2个克山病病区县的2 347人中,心电图异常率为46.47%,心脏超声异常率为33.47%,心肌病检出率为15.10‰;2个非克山病病区县的2 086人中,心电图异常率为42.31%,心脏超声异常率为27.43%,心肌病检出率为8.94‰。结论 四川省克山病病区县的心肌病病情已接近非病区县水平;建议在克山病病区,继续加强克山病综合防控,巩固防治成果,持续消除克山病危害,在非克山病病区,有针对性地实施相关防治措施,以控制心肌病的发生,促进居民健康。

Objective To investigate the detection of cardiomyopathy casesi ni Keshan diseaseareas and non-Keshan disease areas in Sichuan Province,and to provide the scientific basis for the prevention and control of cardiomyopathyy among population in Keshan disease areas of Sichuan Province in the future.Methods In 2021,survey points were selected in the Keshan disease endemic areas of Jiange county and Mianning County,as well as in the non-Keshan disease endemic areas of Wutongqiao district and Nanbu county.Professional personnel conducteda cardiomyopathyy survey on the permanent population of the survey points according to a unified survey plan,mainly including indicators such as abnormal rate of electrocardiogram,abnormal rate of cardiac ultrasound,and detection rate of various cardiomyopathy The survey data were statistically analyzed by Chi-squared test of SPSS 19.0 statistical software,and the difference P<0.05was statistically significant.Results Among the 2347 people in the two Keshan disease areas,the abnormal rate of ECG was 46.47%,the abnormal rate of cardiac ultrasound was 33.47%,and the detection rate of cardiomyopathy was 15.10%o;Among 2086 people in 2 non-Keshan disease areas,the abnormal rate of ECG was 42.31%,the abnormal rate of cardiac ultrasound was 27.43%,and the detection rate of cardiomyopathy was 8.94%o.Conclusions The condition of cardiomyopathy in Keshan disease areas in Sichuan province has approached the level of non-Keshan disease areas;It is recommended to continue to strengthen the comprehensive prevention and control of Keshan disease,and to consolidate the prevention and control results,and continue to eliminate the hazards of Keshan disease in the Keshan disease area.In the non-Keshan disease area,relevant prevention and control measures should be targeted to control the occurrence of cardiomyopathy and promote the health of residents.