2011年山西省饮水型地方性氟中毒病情监测分析.docVIP

PAGE PAGE 1 2011年山西省饮水型地方性氟中毒病情监测分析 李鹏飞 王正辉 武敏 吴赵明 荆玉兰 【摘要】 目的 了解山西省饮水型地方性氟中毒流行现状，为防治工作提供依据。方法 按照《2010年度国家饮水型地方性氟中毒防治项目技术方案》要求，随机选取6个病区县作为监测点。每个监测点随机抽取10个改水工程，监测改水工程运行情况；在每个监测点抽取3个村，对未改水村进行水源水氟检测；对已改水村进行降氟改水工程运行情况调查和水氟测定；在每个村检查全部8 ～ 12岁儿童氟斑牙患病情况。儿童氟斑牙调查采用Dean法。结果 共调查降氟改水工程60个，水氟含量合格工程46个，合格率为76.67％；共监测已改水村17个，水氟含量合格工程11个，合格率为64.71％。监测未改水村1个，水氟浓度均值为2.28mg/L。已改水村，检查8～12岁学生1409人，氟斑牙检出率为31%，缺损型氟斑牙检出率为5％，氟斑牙指数为0.7；未改水村，检查8～12岁学生77人，氟斑牙检出率为29%，氟斑牙指数为0.5。结论 山西省儿童氟斑牙病情稳定；部分改水工程水氟超标；今后应加大改水力度，保证工程质量，进一步提高防治效果。 【关键词】 饮水；氟斑牙；监测 Analysis of disease of drinking water endemic fluorosis in shanxi provice in 2011 Li Peng-fei,Wang Zheng-hui,Wu Min,Wu Zhao-ming,Jing Yu-lan. Department of Endemic Disease,shanxi Institute for Endemic Disease and Treatmemt,Linfen 041000,China 【Abstract】 Objective To explore the current situation of drinking water endemic fluorosis in shanxi provice,providing prevention and control work with scientific evidence. Methods According to “The National Technical Scheme for drinking water endemic fluorosis Control in 2010”, Six disease randomly selected counties as monitoring stations. Random 10 change water project in each monitoring stations, monitoring the improvement of water project operation; Select three village from each monitoring stations,the content of fluoride in dinking water was measured in villages where water was not improved,running tatatus of delfuoridation projects was investigated and the content of fluoride in drinking water determined in villages where water was improved. Check all age 8 - 12 childrens dental fluorosis rates in each village.Dental fluorosis of children was diagnosed using Dean method.Reslts The investigation of 60 ___________________________________ 基金项目：中央补助地方公共卫生专项资金地方病防治项目山西省分项目（2010） 作者单位：041000临汾，山西省地方病防治研究所大氟砷研究室 作者简介：李鹏飞（1978-），男，山西省襄汾县人，主治医师，主要从事地方病防治工作 E—mail: water-improving projects was carried out; Water fluorine content qualified in 46 water-improving projects, percent of pass