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目的动态掌握甘肃省泾川县克山病病情现状和消长趋势,科学评估防控效果,规范和持续有效地指导防治工作。方法选取了3个县级医院和13个乡(镇)卫生院搜索病例,根据病例搜索结果选取了病人相对较多的2个村做为重点监测点,根据患者的病史、临床症状和体征、辅助检查结果和来自病区的流行病学线索等,确定疑似克山病病例。结果实际监测1347人,共检出慢型克山病人7例,潜在型克山病人53例,检出率为4.45%。讨论甘肃省泾川县克山病检出率在全国属于较高的地区,仍有潜在型和慢型克山病病例,必须加强对潜在型患者的监测工作,掌握病情变化动态,为制定防治措施提供科学依据。
Objective To dynamically grasp the current situation of Keshan disease in Jingchuan County, Gansu Province and its trend of growth and decline, scientifically evaluate the effect of prevention and control, standardize and continuously and effectively guide the prevention and control work. Methods Three county-level hospitals and 13 township (town) hospitals were selected to search for cases. Two village patients with relatively large numbers of patients were selected as the key monitoring points according to the case search results. According to the patient’s medical history, clinical symptoms and signs, Auxiliary examination results and epidemiological clues from the ward to determine the suspected Keshan disease cases. Results The actual monitoring of 1347 people, a total of 7 cases of chronic Keshan patients were detected, 53 cases of potential Keshan patients, the detection rate was 4.45%. DISCUSSION The detection rate of Keshan disease in Jingchuan County of Gansu Province is still relatively high in the whole country. There are still some cases of potential and chronic Keshan disease. We must strengthen the monitoring of potential patients, master the dynamic changes of the disease, Measures provide a scientific basis.