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目的罗汉洞村是甘肃省泾川县历史克山病重病区,为了准确掌握克山病发病消长趋势,探索发病原因,总结和评价防治工作。方法对历年防治资料进行了整理、统计。结果罗汉洞村克山病病情相对稳定,1979年以来未检出急型、亚急型克山病病例,1979～2007年病情监测显示,克山病的检出率逐年下降。结论环境因素在克山病的发病中起主要作用,采取以补硒为主的综合性防治措施是病情下降和稳定的主要因素。
Objective Luohan Dong village is a historical Keshan disease in Jingchuan County, Gansu Province. In order to accurately grasp the trend of growth and decline of Keshan disease, explore the causes of the disease and summarize and evaluate the prevention and treatment work. Methods The data of prevention and treatment over the years were sorted out and statistically analyzed. Results Khan’s disease in Lohan-dong village was relatively stable. No acute or subacute Keshan disease was detected since 1979. The condition monitoring from 1979 to 2007 showed that the detection rate of Keshan disease decreased year by year. Conclusion Environmental factors play a major role in the pathogenesis of Keshan disease. Taking the comprehensive prevention and treatment measures mainly based on selenium supplementation is the main factor for the decline and stabilization of the disease.