中国地方病学杂志
中國地方病學雜誌
중국지방병학잡지
CHINESE JOURNAL OF ENDEMIOLOGY
2012年
2期
191-193
,共3页
陈培忠%云中杰%李亨祥%高红旭%王玉涛%高杰%尹玉岩
陳培忠%雲中傑%李亨祥%高紅旭%王玉濤%高傑%尹玉巖
진배충%운중걸%리형상%고홍욱%왕옥도%고걸%윤옥암
氟化物中毒%饮水%监测
氟化物中毒%飲水%鑑測
불화물중독%음수%감측
Fluoride poisoning%Drinking%Surveillance
目的 了解山东省4个县(市)正常运转的改水降氟工程水氟含量及地方性氟中毒病情现状,为制订防治策略提供科学依据.方法 按照《山东省地方性氟中毒监测方案》要求,2010年5-11月对高密、嘉祥、郓城、博兴县(市)正常运转的改水工程使用情况、水氟含量进行调查.同时在4个县(市)重点调查了9个村居民饮水含氟量,儿童氟斑牙患病情况和尿氟含量.水、尿氟检测应用离子选择性电极法,儿童氟斑牙检查采用Dean法.结果 4个县(市)共调查288处正常运转改水工程,水氟均值为1.35 mg/L,最大值为6.27 mg/L;水氟合格工程148处(≤1.00 mg/L),合格率为51.39％,不合格率为48.61％.检测9个重点调查村居民饮用水26份,水氟均值为2.02 mg/L,水氟范围为0.62～ 4.36 mg/L;检查8～12岁儿童685人,检出氟斑牙549例,总检出率为80.14％,牙齿缺损率为15.33％( 105/685),氟斑牙指数为1.56;检测儿童尿样379份,尿氟几何均数为3.04 mg/L,尿氟范围为0.66 ～ 13.28 mg/L.结论 本次调查的4个县(市),近50％的改水工程水氟超标(＞1.00 mg/L),9个调查村儿童氟斑牙氟总检出率超过80％,说明山东省氟中毒病区居民病情仍然较重,防治形势依然严峻.
目的 瞭解山東省4箇縣(市)正常運轉的改水降氟工程水氟含量及地方性氟中毒病情現狀,為製訂防治策略提供科學依據.方法 按照《山東省地方性氟中毒鑑測方案》要求,2010年5-11月對高密、嘉祥、鄆城、博興縣(市)正常運轉的改水工程使用情況、水氟含量進行調查.同時在4箇縣(市)重點調查瞭9箇村居民飲水含氟量,兒童氟斑牙患病情況和尿氟含量.水、尿氟檢測應用離子選擇性電極法,兒童氟斑牙檢查採用Dean法.結果 4箇縣(市)共調查288處正常運轉改水工程,水氟均值為1.35 mg/L,最大值為6.27 mg/L;水氟閤格工程148處(≤1.00 mg/L),閤格率為51.39％,不閤格率為48.61％.檢測9箇重點調查村居民飲用水26份,水氟均值為2.02 mg/L,水氟範圍為0.62～ 4.36 mg/L;檢查8～12歲兒童685人,檢齣氟斑牙549例,總檢齣率為80.14％,牙齒缺損率為15.33％( 105/685),氟斑牙指數為1.56;檢測兒童尿樣379份,尿氟幾何均數為3.04 mg/L,尿氟範圍為0.66 ～ 13.28 mg/L.結論 本次調查的4箇縣(市),近50％的改水工程水氟超標(＞1.00 mg/L),9箇調查村兒童氟斑牙氟總檢齣率超過80％,說明山東省氟中毒病區居民病情仍然較重,防治形勢依然嚴峻.
목적 료해산동성4개현(시)정상운전적개수강불공정수불함량급지방성불중독병정현상,위제정방치책략제공과학의거.방법 안조《산동성지방성불중독감측방안》요구,2010년5-11월대고밀、가상、운성、박흥현(시)정상운전적개수공정사용정황、수불함량진행조사.동시재4개현(시)중점조사료9개촌거민음수함불량,인동불반아환병정황화뇨불함량.수、뇨불검측응용리자선택성전겁법,인동불반아검사채용Dean법.결과 4개현(시)공조사288처정상운전개수공정,수불균치위1.35 mg/L,최대치위6.27 mg/L;수불합격공정148처(≤1.00 mg/L),합격솔위51.39％,불합격솔위48.61％.검측9개중점조사촌거민음용수26빈,수불균치위2.02 mg/L,수불범위위0.62～ 4.36 mg/L;검사8～12세인동685인,검출불반아549례,총검출솔위80.14％,아치결손솔위15.33％( 105/685),불반아지수위1.56;검측인동뇨양379빈,뇨불궤하균수위3.04 mg/L,뇨불범위위0.66 ～ 13.28 mg/L.결론 본차조사적4개현(시),근50％적개수공정수불초표(＞1.00 mg/L),9개조사촌인동불반아불총검출솔초과80％,설명산동성불중독병구거민병정잉연교중,방치형세의연엄준.
Objective To investigate the water fluoride level of the water improvement project and the prevalent condition of endemic fluorosis in 4 counties in Shandong province,and to provide a scientific basis for the development of control strategies to endemic fluorosis.Methods According to “Shandong Province Survey Scheme of Endemic Fluorosis”,the service conditions of normal operated water improvement project and water fluoride content were investigated in Gaomi,Jiaxiang,Yuncheng and Boxing counties from May to November in 2010.The fluoride content in drinking water,the prevalence of dental fluorosis and urinary fluoride in children were investigated in nine major survey villages of the four counties.Water and urinary fluoride were determined by ion selective electrode and examination of dental fluorosis was done by using Dean method.Results A total of 288normal operated water improvement projects were examined in the 4 counties,the qualified rate of water fluoride (≤ 1.00 mg/L) of the projects was 51.39％(148/288),mean water fluoride was 1.35 mg/L and the maximum value was 6.27 mg/L.A total of 26 copies of drinking water samples were measured,the fluoride content ranged from 0.62mg/L to 4.36 mg/L,and mean water fluoride was 2.02 mg/L.A total of 685 children aged 8 to 12 were examined in the major investigated villages,the detection rate of dental fluorosis was 80.14％ (549/685),detectable rate of the defective dental fluorosis was 15.33％ (105/685),and dental fluorosis index was 1.56.Three hundred and seventynine copies of child urine samples were tested,the geometric mean of urinary fluoride were 0.66 - 13.28 mg/L,and the average was 3.04 mg/L.Conclusions Nearly 50％ of the water fluoride level of the water improvement project exceeds the standard ( ＞ 1.00 mg/L) in the 4 countries.The detection rate of dental fluorosis exceeds 80％ and urinary fluoride is significantly exceeds the standard in the major investigated villages.The endemic fluorosis is still serious and the situation of prevention and control of the disease is still grim.
