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目的掌握吉林省克山病患病及发病趋势,为防治克山病提供科学依据。方法选取克山病病区为监测点,按照《全国克山病监测方案》要求,对监测点常住人口进行病例搜索和病区监测。结果 5年累计搜索医疗机构总个数11 134个次,共搜索出心肌疾病873例,疑似克山病364例,慢型克山病264人,其中新确诊慢型克山病1例。共检诊15931人,检出克山病61例,总检出率3.8‰,其中慢型6例,检出率为0.4‰;潜在型55例,检出率为3.5‰,未发现急型和亚急型病人。全省心电图检查15 931人,出现异常心电图4 782人,异常率为30%。综合潜、慢克患病率情况,此次19个县全部达到控制标准,其中11个县达到了消除标准。结论各病区县病情差异较大,仍有新病例检出,克山病仍然是一个严重的地方性公共卫生问题,应加强克山病监测工作,控制和减少克山病的发生和发展。
Objective To master the prevalence and incidence of Keshan disease in Jilin Province and provide scientific evidence for prevention and treatment of Keshan Disease. Methods Keshan disease area was selected as the monitoring point, and the resident population at the monitoring point was searched and ward monitored according to the requirements of “National Keshan Disease Surveillance Program”. Results A total of 11 134 medical institutions were searched over the past five years. A total of 873 cases of myocardial diseases, 364 cases of suspected Keshan disease and 264 cases of chronic Keshan disease were searched. Among them, 1 case was newly diagnosed as chronic Keshan disease. A total of 15931 people were examined, 61 cases of Keshan disease were detected, the total detection rate was 3.8 ‰, of which 6 cases were slow, the detection rate was 0.4 ‰; the potential 55 cases, the detection rate was 3.5 ‰, no acute type And sub-acute type of patients. The province’s 15 931 ECG examination, abnormal ECG 4 782 people, the abnormal rate was 30%. Comprehensive potential, the prevalence of chronic disease, the 19 counties all reached control standards, of which 11 counties reached the elimination criteria. Conclusions There are still many new cases in each ward and county. Keshan disease is still a serious endemic public health problem. Keshan disease surveillance should be strengthened to control and reduce the occurrence and development of Keshan disease.