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目的掌握河南省克山病病情现状。方法以灵宝市、卢氏县历史上克山病发病较重的乡、村作为调查点,以3岁及以上全体居民作为调查对象,进行临床检查、描记心电图、拍摄X线胸片及膳食结构调查。结果两地共调查1894人,平均普查率为80．60％;检出慢型克山病患者10人、潜在型克山病患者27人;心电图测定1 894人,心电图异常190人,检出率为10．03％;潜在型患者患病由原来的10岁组提高到目前的20岁组,慢型患者患病由原来的10岁组提高到目前的40岁组;慢型、潜在型患者以女性为主;与1983、1995年比较,病区居民主食中小麦、大米及副食(鱼肉、蔬菜、油类)食用量增加,居民生活水平有所提高。结论河南省克山病病区病情总体稳定,但仍有相当数量的患者,提示二级预防工作量还很大。
Objective To master the current situation of Keshan disease in Henan province. Methods The township and village with the highest incidence of Keshan disease in Lingbao City and Lushi County were selected as the investigation points and all the residents aged 3 and above were investigated. The clinical examination, electrocardiogram (ECG), X-ray film and diet Structural survey. Results A total of 1894 people were surveyed in the two places, with an average of 80.60%. There were 10 patients with chronic Keshan disease and 27 patients with latent Keshan disease. There were 1 894 ECGs and 190 electrocardiogram abnormalities. The rate was 10.03%. The prevalence of potential patients increased from the original 10-year-old group to the current 20-year-old group, and the prevalence of the slow-onset patients increased from the original 10-year-old group to the present 40-year-old group. Women were predominant in the patients. Compared with 1983 and 1995, the consumption of wheat, rice and non-staple foods (fish, vegetables and oils) in the residents’ ward increased as well as the living standards of residents. Conclusion The overall condition of Keshan disease in Henan Province is stable, but there are still a considerable number of patients, suggesting that secondary prevention is still a heavy workload.