干旱区生态环境知识资源中心(Arid): 陕西省黄陵县克山病8年监测结果分析

Arid

	陕西省黄陵县克山病8年监测结果分析
其他题名	Eight years follow-up study of Keshan disease in Huangling county, Shaanxi province
	刘作功; 雷艳霞; 翟连榜; 朱延河; 张春明; 杨占田; 代晓霞; 王立新; 梁文升; 宋鸿彬
来源期刊	中国地方病学杂志
ISSN	1000-4955
出版年	2004
卷号	23 期号:1 页码:66-68
中文摘要	目的观察陕西省黄陵县1995～2002年克山病病情变化.方法在黄陵县的6个重病村设立监测点,全体居民均为监测对象,同时对全县慢型克山病(慢克)的发病情况进行监测,并对监测点3～15岁儿童内环境硒水平进行监测.结果(1)6个监测点8年共检出慢克病人20例,潜在型克山病病人(潜克)282例,新发潜克病人14例.1995、1997、1999、2000和2002年克山病的检出率分别为4.3%、3.6%、7.5%、8.0%和8.5%;患病率为1.0%、2.4%、3.2%、3.6%和2.0%;潜在型克山病的新发生率为55.6/万、53.5/万、19.5/万、0/万和25/万;(2)8年全县共确诊慢克病人62例,死亡22例,15例死于慢性充血性心力衰竭,7例死于猝死;(3)监测点3～15岁儿童发硒与非病区儿童比较,差异无显著意义.结论陕西省黄陵县监测点克山病的检出率呈缓慢上升态势,发病率呈平稳态势,但潜在型克山病仍有新发.
英文摘要	Objective To observe the dynamic changes for the state and related factors of Keshan disease. Methods Surveillance point of Keshan disease condition whs set up in 6 villages where the disease occurs seriously in Huangling county and all local residents were treated as surveillance subjects. State and change of Keshan disease in the surveillance point were observed successively for 8 years from 1995 to 2002 and at the same time selenium (Se) levels in hair samples of children in age from 3 to 15 years were measured. Results (1) Total of 20 chronic, 282 potential and 14 new eases were diagnosed during the past 8 years in the 6 monitoring sites. The incidence of latent and chromic Keshan disease in 1995,1997,1999,2000 and 2002 was 4.3 %,3.6 %,7.5 %,8.0 %,and 8.5 %, respectively, the morbidity rate was 1.0 %, 2.2 %, 3.2 %,3.6 % and 2.0 %,respectively, The morbidity of latent Keshan disease were 55.6/ten thousand,53.5/ten thousand, 19.5/ten thousand,0/ten thousand and 25/ten thousand, respectively. (2) All over the county, total of 62 cases were diagnosed as chronic Keshan disease in the county in 8 years, 22 oases died, in which, 15 cases died form chronic congestive heart failure, 7 died at sudden death. (3) The hair selenium contents of cases from children in age of 3 to 15 year in the area of Keshan disease were not significantly different from those in the non-endemic area. Conclusions The rate of diagnosed Keshan disease is going up slowly, the incidence of Keshan disease is steady, but still has new cases of latent Keshan diseases in Huangling county, Shaanxi province.
中文关键词	克山病 ; 监测 ; 发硒
英文关键词	keshan disease monitoring selenium
语种	中文
国家	中国
收录类别	CSCD
WOS类目	MEDICINE GENERAL INTERNAL
WOS研究方向	General & Internal Medicine
CSCD记录号	CSCD:1505382
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/205684
作者单位	西安交通大学医学院地方病研究所, 700016
推荐引用方式 GB/T 7714	刘作功,雷艳霞,翟连榜,等. 陕西省黄陵县克山病8年监测结果分析[J],2004,23(1):66-68.
APA	刘作功.,雷艳霞.,翟连榜.,朱延河.,张春明.,...&宋鸿彬.(2004).陕西省黄陵县克山病8年监测结果分析.中国地方病学杂志,23(1),66-68.
MLA	刘作功,et al."陕西省黄陵县克山病8年监测结果分析".中国地方病学杂志 23.1(2004):66-68.