重庆市燃煤污染型地方性氟中毒病情变化特征剖析.docVIP

重庆市燃煤污染型地方性氟中毒病情变化特征剖析 　　【摘要】目的：了解重庆市燃煤污染型地方性氟中毒病区病情分布特征。方法：运用Dean氏法检查病区县所有病区村的8-12岁儿童氟斑牙患病情况，计算氟斑牙患病率、氟斑牙缺损率、氟斑牙指数；运用氟骨症临床诊断标准检查病区县病区村16岁以上人群的氟骨症患病情情况，计算氟骨症检出率。结果：燃煤型氟中毒病区县病区村数从原来的1269个降低到现在的666个，氟斑牙患病率、氟斑牙缺损率、氟斑牙指数分别为51.05%、4.27%、0.83，氟骨症检出率为1.19%；病区类型重病区从原来的164个降到16个，中病区从原来的122个降到36个，轻病区从原来的380个上升到480个，成为控制病区的有139个。结论：重庆市燃煤型氟中毒病氟斑牙病情逐渐减轻，病情程度逐渐下降，病区类型逐渐减轻，说明通过20年的采取以改炉改灶为主综合性防治措施效果较好；新的病区村出现和部分病区村病情加重的现象值得关注。 　　【关键词】燃煤型氟中毒；氟斑牙；氟骨症 　　 　　Chongqing burns coal the pollution local fluorosis condition change characteristic analysis 　　YAN Wei XIAO Bang-zhong LUO Xing-jian ZHAI Wen-fang XIE Jun 　　【Abstract】goal：Understood Chongqing burns coal the pollution local fluorosis ward condition distributed characteristic. Method：Inspects the ward county all wards village using the Dean law 8-12 year old child fluorine spot tooth to be sick the situation，the computation fluorine spot tooth prevalence rate，the fluorine spot tooth damage rate，the fluorine spot tooth index；Inspects above the ward county ward village 16 years old using the fluorine bone sickness clinical diagnosis standard crowds fluorine bone sickness trouble condition situation，computation fluorine bone sickness picking out rate. Finally：The burning coal fluorosis ward county ward village number reduces from original 1，269 to present 666，the fluorine spot tooth prevalence rate，the fluorine spot tooth damage rate，the fluorine spot tooth index respectively is 51.05%，4.27%，0.83，fluorine bone sickness picking out rate is 1.19%；The ward type heavy ward falls from original 164 to 16，center the ward falls from original 122 to 36，the light ward rises from original 380 to 480，becomes controls the ward to have 139. Conclusion：The Chongqing burning coal fluorosis sickness fluorine spot tooth condition gradually reduces，the condition degree gradually drops，the ward type gradually reduces，showed adopts through 20 years changes the stove to change the stove primarily comprehensive nature preventing and controlling measure