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目的观察慢型克山病自我管理治疗项目实施效果,探讨慢型克山病治疗、管理和生活指导方法,以提高患者存活率,降低病死率。方法按照甘肃省地方病防治项目克山病项目技术方案,主要采用改善心脏功能的利尿剂、转换酶抑制剂、β受体阻断剂、强心剂或血管扩张剂等药物治疗。结果按照甘肃省慢型克山病患者恢复期治疗统一协定处方,治疗6个月后,依据克山病疗效判定标准(WS/T 209)进行疗效观察,18例慢型克山病患者完成治疗的17例,1例治疗期间死亡,好转9例,占52.94%,稳定8例,占47.06%。结论坚持对慢型克山病家庭治疗、管理和生活指导是目前比较理想的有效途径和方法,对克山病患者进行健康管理及药物治疗干预,对改善患者健康状况有意义,对慢型克山病患者自我治疗取得了较好的疗效,符合病区现状,值得在克山病区坚持推广和应用。
Objective To observe the effect of self-management treatment of chronic Keshan disease and explore the treatment, management and life guidance of chronic Keshan disease so as to improve the survival rate of patients and reduce the mortality. Methods According to the Keshan disease project of endemic disease prevention project in Gansu province, diuretics, converting enzyme inhibitors, β - blockers, cardiotonics or vasodilators and other drugs were used to improve cardiac function. Results According to the prescription of treatment of chronic Keshan disease in Gansu Province during the recovery period, after 6 months of treatment, the therapeutic effect was evaluated according to the criteria of Keshan disease (WS / T 209), and 18 cases of Keshan disease were completed Of the 17 cases, one case died during treatment, improved in 9 cases, accounting for 52.94%, stable in 8 cases, accounting for 47.06%. Conclusion It is an ideal and effective way and method to instruct family Ketanopathy family management, management and living guidance at present. It is significant to improve the health condition of Keshan disease patients. Mountain patients self-treatment has made a good effect, in line with the ward status, it is worth sticking in Keshan ward to promote and apply.