CAJ | 학술논문

目的了解富源县燃煤污染型氟中毒病区的病情现状,掌握防氟措施落实情况,为制订地方性氟中毒防治措施提供依据.方法 2009年,在富源县富村镇大水井村委会小雨汪村、拖嘎村、沙良村3个病区村抽查105户居民,调查降氟炉灶使用质量和健康教育效果(为什么使用降氟炉灶的知晓率).在富村镇小雨汪村,采集20户居民室内储藏的辣椒和玉米,检测含氟量;按东、西、南、北、中抽查5户,每户各采集1次室内空气样品检测空气氟;检查当地出生的8～ 12周岁儿童氟斑牙患病情况;同时采集50人份8～ 12周岁儿童即时尿样测定尿氟;对当地居住5年以上超过30岁的成年人进行临床氟骨症和Ⅹ线氟骨症检查.结果抽查105户居民,家中降氟炉灶的正确使用率为100％,为什么使用降氟炉灶知晓率为82.86％(87/105).共采集辣椒19份,含氟量在9.98～538.40 mg/kg,中位数为32.38 mg/kg,全部超标(1.5 mg/kg);采集玉米25份,含氟量在0.42～101.54 mg/kg,中位数为6.32 mg/kg,18份超标(1.0 mg/kg);采集空气6份,含氟量在0.000 98～ 0.003 33mg/m3,中位数为0.001 45 mg/m3;8～12岁儿童氟斑牙检出率为42.3％(22/52),尿氟为0.13 ～ 1.80 mg/L,几何均数为0.58 mg/L;成人临床氟骨症检出4人,检出率为2.46％(4/162),Ⅹ线检出5例,检出率为9.61％(5/52).结论辣椒和玉米氟污染严重,应指导病区群众改变生活习惯,尽量减少氟污染.
목적 료해부원현연매오염형불중독병구적병정현상,장악방불조시락실정황,위제정지방성불중독방치조시제공의거.방법 2009년,재부원현부촌진대수정촌위회소우왕촌、타알촌、사량촌3개병구촌추사105호거민,조사강불로조사용질량화건강교육효과(위십요사용강불로조적지효솔).재부촌진소우왕촌,채집20호거민실내저장적랄초화옥미,검측함불량;안동、서、남、북、중추사5호,매호각채집1차실내공기양품검측공기불;검사당지출생적8～ 12주세인동불반아환병정황;동시채집50인빈8～ 12주세인동즉시뇨양측정뇨불;대당지거주5년이상초과30세적성년인진행림상불골증화Ⅹ선불골증검사.결과 추사105호거민,가중강불로조적정학사용솔위100％,위십요사용강불로조지효솔위82.86％(87/105).공채집랄초19빈,함불량재9.98～538.40 mg/kg,중위수위32.38 mg/kg,전부초표(1.5 mg/kg);채집옥미25빈,함불량재0.42～101.54 mg/kg,중위수위6.32 mg/kg,18빈초표(1.0 mg/kg);채집공기6빈,함불량재0.000 98～ 0.003 33mg/m3,중위수위0.001 45 mg/m3;8～12세인동불반아검출솔위42.3％(22/52),뇨불위0.13 ～ 1.80 mg/L,궤하균수위0.58 mg/L;성인림상불골증검출4인,검출솔위2.46％(4/162),Ⅹ선검출5례,검출솔위9.61％(5/52).결론 랄초화옥미불오염엄중,응지도병구군음개변생활습관,진량감소불오염.
Objective To explore the prevalence state of children in coal-burning borne endemic fluorosis in Fuyuan county Qujing city,to know the implementation of preventing measures,and to provide a scientific basis for prevention of endemic fluorosis.Methods In 2009,105 families were sampled to check the service condition of defluoridation stove and the effect of health education (the awareness of use defluoridation stove reasons) in Xiaoyuwang,Tuoga and Shaliang villages,Fucun town of Fuyuan county.Food fluorine of indoor stored peppers and corns was monitored of 20 families in Xiaoyuwang village,5 household were randomly selected from east,west,south,north and middle places of the village.Air fluorine was monitored from indoor air samples of 5families,dental and urinary fluorine was monitored of the native-born children aged 8 to 12,and dental fluorosis of these children was checked.Clinical endemic fluorosis and X-ray endemic fluorosis was monitored of local adult residents over the age of 30 that had been lived in the area for more than 5 years.Results The rate of correct use of the defluoridation stove was 100％,and adult awareness rate of use defluoridation stove reasons was 82.86％(87/105).Of the 19 pepper samples,fluorine content were 9.98 - 538.40 mg/kg and median was 32.38 mg/kg,all exceeded the standard(1.5 mg/kg).Of the 25 corn samples,fluorine content were 0.42 - 101.54 mg/kg and median was 6.32 mg/kg,with 18 samples exceeded the standard(1.0 mg/kg).Of the 6 air samples,fluorine content were 0.000 98 - 0.003 33 mg/kg and median was 0.001 45 mg/kg.Detection rate of dental fluorosis of children aged 8 - 12 was 42.3％,urinary fluorine content were 0.13 - 1.80 mg/L,geometric mean was 0.58 mg/L,4 adults were diagnosed clinical skeletal fluorosis,detection rate was 2.46％(4/162),5 adults were found by X-ray with endemic fluorosis,detection rate was 9.61％(5/52).Conclusion Peppers and cons fluorine pollution is serious,general public should be guided to change their lifestyles to minimize the fluorine pollution.