中国地方病学杂志
中國地方病學雜誌
중국지방병학잡지
CHINESE JOURNAL OF ENDEMIOLOGY
2011年
2期
194-196
,共3页
何风珍%郭敏%旦增桑布%尼玛仓决%白玛央金
何風珍%郭敏%旦增桑佈%尼瑪倉決%白瑪央金
하풍진%곽민%단증상포%니마창결%백마앙금
氟化物中毒%改水%数据收集
氟化物中毒%改水%數據收集
불화물중독%개수%수거수집
Fluoride poisoning%Change the water%Data collection
目的 了解西藏饮水型地方性氟中毒的病情动态,评价防治措施的效果,为及时调整防治策略提供科学依据.方法 按照"2008年中央补助地方公共卫生专项资金西藏饮水型氟中毒防治项目"技术方案,于2009年9-10月选取日喀则谢通门和林芝察隅两县作为项目县,在每个项目县采用单纯随机抽样的方法选择3个项目村,以自然村为单位,对改水及改水工程运转情况、饮水含氟量、儿童氟斑牙和成人临床氟骨症进行调查.按照<生活饮用水标准检验方法非金属指标>(GB/T 5750.6-2006)测定水氟;尿中氟化物的测定采用离子选择电极法(WS/T 89-1996);氟斑牙诊断采用Dean法;成人氟骨症诊断按<地方性氟骨症临床诊断标准>(WS192-2008)进行.结果 已改水病区水氟均值在0.18～0.34 mg/L,未改水病区水氟均值在0.70～2.13 mg/L;已改水病区8～10岁儿童氟斑牙检出率为50.78%(65/128),氟斑牙指数为1.04,儿童尿氟均值为1.64 mg/L,未改水病区氟斑牙检出率为80.65%(25/31),氟斑牙指数为1.50,儿童尿氟均值为2.08;已改水病区成人氟骨症患病率为38.7%(104/269),尿氟为1.61 mg/L,未改水病区成人氟骨症患病率为15.4%(18/117),尿氟为3.54mg/L.结论 改水降氟使氟斑牙的检出率降低至控制水平,严重程度也在降低,改水病区尿氟低于未改水病区,说明改水仍对消除氟中毒的危害有重要意义,但氟骨症患病率出现了在改水病区反而高于未改水病区的现象.
目的 瞭解西藏飲水型地方性氟中毒的病情動態,評價防治措施的效果,為及時調整防治策略提供科學依據.方法 按照"2008年中央補助地方公共衛生專項資金西藏飲水型氟中毒防治項目"技術方案,于2009年9-10月選取日喀則謝通門和林芝察隅兩縣作為項目縣,在每箇項目縣採用單純隨機抽樣的方法選擇3箇項目村,以自然村為單位,對改水及改水工程運轉情況、飲水含氟量、兒童氟斑牙和成人臨床氟骨癥進行調查.按照<生活飲用水標準檢驗方法非金屬指標>(GB/T 5750.6-2006)測定水氟;尿中氟化物的測定採用離子選擇電極法(WS/T 89-1996);氟斑牙診斷採用Dean法;成人氟骨癥診斷按<地方性氟骨癥臨床診斷標準>(WS192-2008)進行.結果 已改水病區水氟均值在0.18～0.34 mg/L,未改水病區水氟均值在0.70～2.13 mg/L;已改水病區8～10歲兒童氟斑牙檢齣率為50.78%(65/128),氟斑牙指數為1.04,兒童尿氟均值為1.64 mg/L,未改水病區氟斑牙檢齣率為80.65%(25/31),氟斑牙指數為1.50,兒童尿氟均值為2.08;已改水病區成人氟骨癥患病率為38.7%(104/269),尿氟為1.61 mg/L,未改水病區成人氟骨癥患病率為15.4%(18/117),尿氟為3.54mg/L.結論 改水降氟使氟斑牙的檢齣率降低至控製水平,嚴重程度也在降低,改水病區尿氟低于未改水病區,說明改水仍對消除氟中毒的危害有重要意義,但氟骨癥患病率齣現瞭在改水病區反而高于未改水病區的現象.
목적 료해서장음수형지방성불중독적병정동태,평개방치조시적효과,위급시조정방치책략제공과학의거.방법 안조"2008년중앙보조지방공공위생전항자금서장음수형불중독방치항목"기술방안,우2009년9-10월선취일객칙사통문화림지찰우량현작위항목현,재매개항목현채용단순수궤추양적방법선택3개항목촌,이자연촌위단위,대개수급개수공정운전정황、음수함불량、인동불반아화성인림상불골증진행조사.안조<생활음용수표준검험방법비금속지표>(GB/T 5750.6-2006)측정수불;뇨중불화물적측정채용리자선택전겁법(WS/T 89-1996);불반아진단채용Dean법;성인불골증진단안<지방성불골증림상진단표준>(WS192-2008)진행.결과 이개수병구수불균치재0.18～0.34 mg/L,미개수병구수불균치재0.70～2.13 mg/L;이개수병구8～10세인동불반아검출솔위50.78%(65/128),불반아지수위1.04,인동뇨불균치위1.64 mg/L,미개수병구불반아검출솔위80.65%(25/31),불반아지수위1.50,인동뇨불균치위2.08;이개수병구성인불골증환병솔위38.7%(104/269),뇨불위1.61 mg/L,미개수병구성인불골증환병솔위15.4%(18/117),뇨불위3.54mg/L.결론 개수강불사불반아적검출솔강저지공제수평,엄중정도야재강저,개수병구뇨불저우미개수병구,설명개수잉대소제불중독적위해유중요의의,단불골증환병솔출현료재개수병구반이고우미개수병구적현상.
Objective To find out the dynamics of drinking water borne endemic fluorosis in Tibet's, to evaluate the effect of control measures, and to provide a scientific basis for the timely adjustment of control strategies. Methods During september to october 2009, according to the "2008 Central Government Special Funds to Subsidize Local Public Health in Drinking Water Borne Fluorosis in Tibet", Xigaze Xietongmen and Nyingchi Zayu were selected as project counties, three project villages were selected with simple random sampling method in each county, the functioning of water improvement projects, drinking water fluoride content, children's dental fluorosis and adult skeletal fluorosis were investigated. Water fluoride was detected by the "standard examination methods for drinking water the non-metallic targets"(GB/T 5750.6-2006) determination of fluoride; urinary fluoride was tested by ion selective electrode (WS/T 89-1996); dental fluorosis was diagnosed using Deans method; adult skeletal fluorosis was diagnosed by "endemic skeletal fluorosis clinical diagnostic criteria" (WS 192-2008). Results Mean water fluoride was 0.18 - 0.34 mg/L in drinking water changed areas, and 0.70 - 2.13 mg/L in not changed areas; prevalence of dental fluorosis of children 8 - 10 was 50.78% (65/128), dental fluorosis index was 1.04,mean urinary fluoride was 1.64 mg/L in drinking water changed areas; prevalence of dental fluorosis of children 8 -10 years old was 80.65%(25/31 ) in not changed areas, dental fluorosis index was 1.50, mean urinary fluoride of children was 2.08; adult clinical skeletal fluorosis was 38.7%(104/269) in drinking water changed areas, the mean urinary fluoride was 1.61 mg/L, prevalence of skeletal fluorosis was 15.4% (18/117) in not changed areas, mean urinary fluoride was 3.54 mg/L. Conclusions The method of change the water to reduce fluoride decreases dental fluorosis to control levels, and severity is also reduced, urinary fluoride is decreased. However, the prevalence of skeletal fluorosis is higher than that of drinking water not changed areas.
