【摘要】 目的　提高四川省凉山州克山病病区居民硒营养水平 ,控制小儿亚急型克山病 (亚急克 )的发生。方法　在凉山州的西昌县等 6县 (市 )供应含 7～ 11mg/ kg亚硒酸钠的硒碘盐 ,并进行儿童发硒水平及病情监测。结果　 2 0 0 1年与 2 0 0 2年相比 ,儿童发硒均值由 0 .16 4 7mg/ kg提高到 0 .2 35 6 m g/ kg,食用盐硒均值由 0 .0 0 32mg/ kg提高到 4 .6 878mg/ kg,亚急克年发病率由 1.2 7/ 10万降为 0 .5 3/ 10万 ;2 0 0 1年亚急克病死率 6 2 .5 0 %。结论　食用盐加硒可以改善人群硒营养 ,使克山病、特别是小儿亚急克的发病率降低。更多还原

【Abstract】 Objective To promote the selenium nutrition of the residents and to control the subacute Keshan disease in children in Liangshan state.Methods Supplying the selenium iodized salt with 7~11 mg/kg of NaSeO 3 to the residents of Liangshan,then monitoring the hair selenium and supervising the incidence.Results The average value of hair selenium in children increased from 0.164 7 mg/kg to 0.235 6 mg/kg.The average value of salt selenium increased from 0.003 2 mg/kg to 4.687 8 mg/kg.The incidence of the subacute Keshan disease dropped from 1.27 per 100 000 to 0.53 per 100 000.The fatality rate was 62.5 percent in 2001.Conclusions The selenium salt is improving selenium nutrition and reducing the incidences of the subacute Keshan diseace in residents,and especially subacute Keshan disease occurred in children.更多还原