摘要
目的调查中国北方7省非克山病病区扩张型心肌病患病率,为制订克山病消除标准提供依据。方法横断面研究,采用多阶段整群抽样在北方7省的非克山病病区随机抽取120村,采用调查表方式,每个调查对象均进行问卷调查、体格检查、心电检查,对疑似扩张型心肌病患者进行心动超声检查及拍摄后前位2 m距离胸部正位X线片。结果实际调查49 751人,男性22 815人,女性26 936人;共检出扩心病病人6例,患病率为1.2/万(95%可信区间:0.24/万,2.17/万);类潜克病人413例,患病率83.0/万(95%可信区间:75.0/万,90.9/万);总患病率为84.3/万(95%可信区间:76.2/万,92.2/万)。结论本研究为扩心病的研究积累了流行病学资料,调查结果可作为病区克山病流行状况比较的本底标准,为制订克山病消除标准提供依据。
Objective To determine the prevalence of dilated cardiomyopathy（DCM） in northern non-endemic areas of Keshan disease,and provide the evidence for the Keshan disease eliminated standards.Methods Using randomized,multistage,and cluster sampling,we surveyed all the permanent resident population of the 120 villages in northern non-endemic areas of Keshan disease by clinical examination and echcardiography,and the suspected cases were diagnosed by Electrocardiography and X-ray evidence.Results A total of 22 815 men and 26 936 women were screened.The total prevalence is 84.3/10 000（95%CI： 76.2/10 000,92.2/10 000）.The 6 cases of DCM were detected in this survey,the prevalence was 1.2/10 000（95%CI：0.24/10 000,2.17/10 000）,including 4 males（1.8/10 000） and 2 females（0.7/10 000）.Conclusions This survey accumulated epidemiological data for the dilated cardiomyopathy.The prevalence of DCM can be the basis standards for the endemic areas of Keshan disease,and provide the evidence for the Keshan disease eliminated standards.
出处
《中国地方病防治》
CAS
2013年第3期184-187,共4页
Chinese Journal of Control of Endemic Diseases
关键词
扩张型心肌病
横断面研究
患病率
克山病
消除
Dilated cardiomyopathy
Cross-sectional study
Prevalence
Keshan disease
Eliminate
