摘要
目的掌握2006年全国大骨节病病情及动态,为防治决策提供依据。方法在病区省、自治区各选1～2个当前病情最重的村作为监测点,每个点拍摄约100名7～13岁儿童右手X线片。按大骨节病诊断标准,集体读片,核定诊断。统计检出率。结果东部7省、市共13个监测点的X线阳性检出率均≤6.00%:西部5省、区11个监测点中X线检出率有4个>10.00%,最高的是青海省上下鹿圈村,达到26.14%。监测点阳性检出率四川省为1.00%、3.00%与4.71%;陕西省为7.63%、0;内蒙古为16.00%、4.50%;甘肃省为14.85%、2.91%;青海省为26.14%、23.28%。东西部各监测点的平均检出率为5.53%。结论与2005年比较,全国大骨节病病情(检出率)高点略有上升,平均检出率变化不大。西部一些病区病情仍然较重,如青海省和甘肃省等。需坚持落实大骨节病的防治措施,尽早控制大骨节病发生。
Objective To investigate Kaschin-Beck disease（KBD） prevalence rate and its temporal and spatial dynamics in the whole country in 2006. Methods 1 or 2 severe endemic areas were selected from each endemic province, where 100 children aged 7 ~ 13 year underwent X-ray examination. All radiographs were collected and read by a specialist group to diagnosis the cases and calculate X-ray detective rates. Results The X-ray detective rates of 13 spots were less than 6,00% in the east part of endemic region, The detective rates outnumbered 10.00% in 4 of 11 spots in the western parts, with the highest one being 26.14%（Qinghai）. X-ray detected the disease in a rate of 1.00%, 3.00% and 4.71% in Sichuan, 7.63% and 0 in Shaanxi, 16.00% and 4.50% in Inner Mongolia, 14.85% and 2.91% in Gansu, 26.14% and 23.28% in Qinghai, respectively. The average detective rate was 5.53% in all spots. Conclusions The highest X-ray detective rate was slightly higher than that in 2005. There is little change in the average level. The state of KBD is critical in such western areas as Qinghai and Gansu Province. The preventive measures must be truly carried out so that KBD can be controlled and eliminated as soon as possible.
出处
《中国地方病学杂志》
CAS
CSCD
北大核心
2007年第6期646-648,共3页
Chinese Jouranl of Endemiology
基金
卫生部委托项目(2006)
