2003，2004年甘肃省大骨节病监测结果分析.pdfVIP

地方病通报2008年第23卷第1期 Endemic Diseases Bulletin 2008 Vo1．23，No． ·43· 文章编号：1000-371 1(2008)01-0043-03 2003，2004年甘肃省大骨节病监测结果分析 格鹏飞，柏淑英”，徐吉敏，王文龙，贾将信，任永贵 (甘肃省疾病预防控制中心，兰州730020) 摘要：目的 掌握大骨节病病情动态，为防治研究提供资料。方法 对38个监测点7～12岁儿童进行临床检查及拍右 手x线片；各监测县每季度检测盐硒含量；隔年检测儿童发硒。结果 2003，2004年临床检查7～12岁儿童数分别为 3 678人和4 031人，Io以上检出率分别为1．09％，1．19％；拍x线手片分别为2 162张和2 205张，总检出率分别为 8．33％和7．48％；检测硒盐577份和856份，硒盐合格率分别为80．95％与98．00％。2004年检测33个点儿童发硒246 份，硒含量在0．117～0．38 g。结论 甘肃省儿童临床患病率和x线检出率呈下降趋势，但局部病区病情仍有波动。 加强补硒措施是控制大骨节病的重要手段。 关键词：大骨节病；监测；硒；儿童；X线 中图分类号：R684．1；R181．81 文献标识码：A Analysis of Surveillance Results of Keschin——Beck Disease in Gansu Province in 2003 and 2004 GE Peng—fei，BAI Shu—ying，XU Ji—rain，WANG Wen—long，JIA Jiang—xing，REN Yong—gui (The Centerfor Disease Control and Prevention ofGansu Province，Lanzhou，Gansu 730020，China) Abstract：Objective To master the prevalence state of Keschin—Beck disease(KBD)，and provide academic data for prevention and treatment．Methods Clinical examination and plain X—ray of fight hand were carried out in children of 7—12 years old in 38 monitoring sites．Selenium levels in salt were tested per month and hair selenium of children was also detected every two years．Results In 2003 and 20O4．3 678 and 4 031 children aged 7—12 were taken clinical examination with the positive rate over I。of 1．09％ and 1。19％ respectively：right hand positive rate of X—ray of 8．33％ and 7．48％．577 and 856 salt samples were examined．with the detection rate of 80．95％ and 98％ respectively in 2003 and 2004．Hair selenium levels of 246 samples at 33 sites were between 0．1 17 g and 0．38 g in 2004．Conclusions The KBD preva— lence state generally declined in Gansu Province in 2003 and 2004 ，but the prevalence rate has a tendency