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目的观察河北省2005年克山病病情。方法在河北省克山病历史重病区张北县战海乡水泉洼村设立监测点,将全部常住人口列为监测对象,根据《克山病监测》标准(WS／T 78-1996)及《克山病诊断标准》(GB 17021-1997)对监测点居民进行普查,随访2004年监测点在册克山病病人。结果监测点年内无急型、亚急型克山病发生,检出潜在型克山病(潜克)和慢型克山病(慢克)23人,检出率为4．59％,高于2004年检出率,但差异无统计学意义(P>0．05);监测点人群异常心电图检出率为14．34％;克山病病人心、胸比率异常检出率为52．63％;随访2004年监测点克山病病人27人,死亡2人,死亡率为7．4％。结论河北省张北县监测点克山病病情相对稳定,但病区存在的致病因素仍然对病区人群构成威胁。应加强病情监测工作,开展对克山病病人的治疗和管理。
Objective To observe the state of Keshan disease in Hebei Province in 2005. Methods A monitoring point was set up in Shuiquanwa Village, Zhanghai County, Zhangbei County, a historical heavy disease area of Keshan Disease in Hebei Province. All permanent residents were listed as monitoring targets. According to the criteria of “Keshan Disease Surveillance” (WS / T 78-1996) and “ Keshan disease diagnostic criteria ”(GB 17021-1997) to carry out census of residents at monitoring points, followed up in 2004 monitoring points in patients with Keshan disease. Results No acute or subacute Keshan disease occurred during the year of monitoring, and 23 Keshan disease (latent gram) and chronic Keshan disease (chronic gram) were detected, with a detection rate of 4.59% and high (P> 0.05). The detection rate of abnormal electrocardiogram was 14.34% in monitoring population. The detection rate of heart and chest abnormality was 52 in Keshan disease patients. 63%. Follow-up 27 patients with Keshan disease were monitored in 2004, with 2 deaths and a mortality rate of 7.4%. Conclusion The Keshan disease in Zhangbei County, Hebei Province was relatively stable. However, the prevalence of the disease still posed a threat to the ward population. Disease surveillance should be strengthened to carry out treatment and management of Keshan disease patients.