中国地方病学杂志
中國地方病學雜誌
중국지방병학잡지
CHINESE JOURNAL OF ENDEMIOLOGY
2008年
6期
663-667
,共5页
王健辉%郑照霞%刘微%刘羽%高嵘%李子荣%赵伟光%王思茜%刘万洋
王健輝%鄭照霞%劉微%劉羽%高嶸%李子榮%趙偉光%王思茜%劉萬洋
왕건휘%정조하%류미%류우%고영%리자영%조위광%왕사천%류만양
氟化物中毒%水%氟中毒,牙%氟骨症%数据收集
氟化物中毒%水%氟中毒,牙%氟骨癥%數據收集
불화물중독%수%불중독,아%불골증%수거수집
Fluoride poisoning%Water%Fluorosis,dental%Osteofluorosis%Data collection
目的 了解辽宁省地方性氟中毒(简称地氟病)流行现状和防治措施落实情况.方法 对改水和未改水饮水型地氟病病区分层抽样开展饮用水含氟量筛查和8-12岁儿童氟斑牙,16岁以上成人临床氟骨症病情普查,检测8-12岁儿童志愿者尿氟.结果 全省普查842个未改水村(屯)和1829个改水村(屯),未改水村(屯)居民饮用水水氟0.01-7.10 mg/L,平均(0.96±0.64)mg/L,29.2%(246/842)的未改水村(屯)饮用水含氟量＞1.2 mg/L,在1829个改水村(屯)中调查了1234个降氟改水工程,水氟0.06-7.67 mg/L,工程正常运行且水氟≤1.2 mg/L的工程占调查工程的68.31%(843/1234),已改水村(屯)有31.69%(391/1234)的工程没有发挥其降氟改水作用.普查12127名8-12岁儿童和85 636名16岁以上成人,儿童氟斑牙检出率为24.4%(2960/12 127),成人临床Ⅱ度及以上氟骨症检出率为2.22%(1900/85 636).轻,中,重病区儿童氟斑牙检出情况比较,差异有统计学意义(X2＝19.25,P＜0.01),重病区儿童氟斑牙检出率较高,个别未改水的重病区村(屯)儿童氟斑牙检出率达到100%,成人临床Ⅱ度及以上氟骨症检出率为18.03%(97/538).重病区和轻病区(未改水及工程报废)儿童尿氟中位数分别为2.01,2.00 mg/L.结论 辽宁省未改水的饮水型地氟病中,重病区的病情仍然十分严重,工程停运或报废病区仍亟须落实降氟改水防治措施.
目的 瞭解遼寧省地方性氟中毒(簡稱地氟病)流行現狀和防治措施落實情況.方法 對改水和未改水飲水型地氟病病區分層抽樣開展飲用水含氟量篩查和8-12歲兒童氟斑牙,16歲以上成人臨床氟骨癥病情普查,檢測8-12歲兒童誌願者尿氟.結果 全省普查842箇未改水村(屯)和1829箇改水村(屯),未改水村(屯)居民飲用水水氟0.01-7.10 mg/L,平均(0.96±0.64)mg/L,29.2%(246/842)的未改水村(屯)飲用水含氟量＞1.2 mg/L,在1829箇改水村(屯)中調查瞭1234箇降氟改水工程,水氟0.06-7.67 mg/L,工程正常運行且水氟≤1.2 mg/L的工程佔調查工程的68.31%(843/1234),已改水村(屯)有31.69%(391/1234)的工程沒有髮揮其降氟改水作用.普查12127名8-12歲兒童和85 636名16歲以上成人,兒童氟斑牙檢齣率為24.4%(2960/12 127),成人臨床Ⅱ度及以上氟骨癥檢齣率為2.22%(1900/85 636).輕,中,重病區兒童氟斑牙檢齣情況比較,差異有統計學意義(X2＝19.25,P＜0.01),重病區兒童氟斑牙檢齣率較高,箇彆未改水的重病區村(屯)兒童氟斑牙檢齣率達到100%,成人臨床Ⅱ度及以上氟骨癥檢齣率為18.03%(97/538).重病區和輕病區(未改水及工程報廢)兒童尿氟中位數分彆為2.01,2.00 mg/L.結論 遼寧省未改水的飲水型地氟病中,重病區的病情仍然十分嚴重,工程停運或報廢病區仍亟鬚落實降氟改水防治措施.
목적 료해요녕성지방성불중독(간칭지불병)류행현상화방치조시락실정황.방법 대개수화미개수음수형지불병병구분층추양개전음용수함불량사사화8-12세인동불반아,16세이상성인림상불골증병정보사,검측8-12세인동지원자뇨불.결과 전성보사842개미개수촌(둔)화1829개개수촌(둔),미개수촌(둔)거민음용수수불0.01-7.10 mg/L,평균(0.96±0.64)mg/L,29.2%(246/842)적미개수촌(둔)음용수함불량＞1.2 mg/L,재1829개개수촌(둔)중조사료1234개강불개수공정,수불0.06-7.67 mg/L,공정정상운행차수불≤1.2 mg/L적공정점조사공정적68.31%(843/1234),이개수촌(둔)유31.69%(391/1234)적공정몰유발휘기강불개수작용.보사12127명8-12세인동화85 636명16세이상성인,인동불반아검출솔위24.4%(2960/12 127),성인림상Ⅱ도급이상불골증검출솔위2.22%(1900/85 636).경,중,중병구인동불반아검출정황비교,차이유통계학의의(X2＝19.25,P＜0.01),중병구인동불반아검출솔교고,개별미개수적중병구촌(둔)인동불반아검출솔체도100%,성인림상Ⅱ도급이상불골증검출솔위18.03%(97/538).중병구화경병구(미개수급공정보폐)인동뇨불중위수분별위2.01,2.00 mg/L.결론 요녕성미개수적음수형지불병중,중병구적병정잉연십분엄중,공정정운혹보폐병구잉극수락실강불개수방치조시.
Objective To investigate the status of control of endemic fluorosis in Liaoning Province.Methods To investigate the prevalence rate of endemic fluorosis and water fluoride content in regions with different extent of endemic fluorosis,dental fluomsis among 8-12 years old children and clinical fluorosis at adult above 16 years old were extensively surveyed,urinary fluoride among 8-12 years old children was detected.Results We surveyed 842 undefluorided drinking water in endemic fluorosis villages and 1234 projects of improving drinking water in 1829 endemic fluorosis viflages.Water fluoride content was 0.01-7.10 mg/L in unimproved drinking water in endemic fluorosis resions,averaging(0.96±0.64)mg/L;29.2%(246/842)of the endemic fluorosis regions had a fluoride content more than 1.2 mg/L In 1234 projects of improving drinking water.drinking water fluoride content was between 0.06-7.67 mg/L.The project normally operated and having a fluoride content≤1.2 mg/L accounted for 68.31%(843/1234),while 31.69%(391/1234)of the projects did not function well.The prevalence of dental fluomsis in 8-12 years old child ren in endemic fluorosis regions was 24.4%(2960/12 127),the prevalence of clinical fluorosis among adults was 2.22%(1900/85 636).The prevalente of dental fluorosis in slight,moderate and serious fluorosis regions had remarkable statistics differences(X2＝19.25,P＜0.01).The prevalence of dental fluorosis of children in serious fluorosis regions was the highest,reaching 100%,while the prevalence of skeletal fluorosis wns 18.03%(97/538).The median of urinary fluoride was 2.01.2.00mg/L in serious and slight fluomsis regions,respectively.Conclusions Endemic fluorosis is still serious.so we need urgently to improve water in serious fluorosis regions without defluoridaton of drinking water.Endemic fluomsis resions where worn-out and closed defluoriding projects exist need defluoriding management.
