中国地方病学杂志
中國地方病學雜誌
중국지방병학잡지
CHINESE JOURNAL OF ENDEMIOLOGY
2010年
1期
77-79
,共3页
魏生英%鲁青%丁萍%丁生荣%浦广兰%陈萍%何多龙%张海燕%司文江%刘秋香%王兴%万玛
魏生英%魯青%丁萍%丁生榮%浦廣蘭%陳萍%何多龍%張海燕%司文江%劉鞦香%王興%萬瑪
위생영%로청%정평%정생영%포엄란%진평%하다룡%장해연%사문강%류추향%왕흥%만마
氟化物中毒%数据收集%氟中毒%牙%氟骨症
氟化物中毒%數據收集%氟中毒%牙%氟骨癥
불화물중독%수거수집%불중독%아%불골증
Fluoride poisoning%Data collection%Fluorosis,dental%Osteofluorosis
目的 掌握2008年青海省地方性氟中毒病情,为地方性氟中毒防治提供科学依据.方法 将青海省所有地方性氟中毒病村以改水前的水氟分为轻、中、重3类,分别抽取2、4、4个调查村.对未改水的村按东、西、南、北、中5个方位采集5份水样,测定水氟;对已改水病村,抽检3份末梢水样和1份水源水样测定水氟,水氟测定用<地方性氟中毒病区饮水氟化物的测定方法>;用Dean法对调查村所有8～12岁儿童进行氟斑牙检查,并按年龄段各抽检6人的尿氟;尿氟测定采用离子选择电极法;对调查村16岁及以上成人进行临床氟骨症检查,在中等病区和重病区调查村,每村按年龄段抽取约20人进行X线氟骨症检查.结果 共检查8～12岁儿童562名,氟斑牙检出率为43.59%(245/562);检测300例8～12岁儿童尿样,尿氟为1.52 mg/L:对3144名16岁以上成人进行临床氟骨症检查,临床氟骨症检出率为50.32%(1582/3144);对163名成人进行了X线拍片检查,氟骨症检出率为29.45%(48/163).结论 青海省地方性氟中毒病情仍然很严重,并且有回升趋势,须进一步加强防治措施.
目的 掌握2008年青海省地方性氟中毒病情,為地方性氟中毒防治提供科學依據.方法 將青海省所有地方性氟中毒病村以改水前的水氟分為輕、中、重3類,分彆抽取2、4、4箇調查村.對未改水的村按東、西、南、北、中5箇方位採集5份水樣,測定水氟;對已改水病村,抽檢3份末梢水樣和1份水源水樣測定水氟,水氟測定用<地方性氟中毒病區飲水氟化物的測定方法>;用Dean法對調查村所有8～12歲兒童進行氟斑牙檢查,併按年齡段各抽檢6人的尿氟;尿氟測定採用離子選擇電極法;對調查村16歲及以上成人進行臨床氟骨癥檢查,在中等病區和重病區調查村,每村按年齡段抽取約20人進行X線氟骨癥檢查.結果 共檢查8～12歲兒童562名,氟斑牙檢齣率為43.59%(245/562);檢測300例8～12歲兒童尿樣,尿氟為1.52 mg/L:對3144名16歲以上成人進行臨床氟骨癥檢查,臨床氟骨癥檢齣率為50.32%(1582/3144);對163名成人進行瞭X線拍片檢查,氟骨癥檢齣率為29.45%(48/163).結論 青海省地方性氟中毒病情仍然很嚴重,併且有迴升趨勢,鬚進一步加彊防治措施.
목적 장악2008년청해성지방성불중독병정,위지방성불중독방치제공과학의거.방법 장청해성소유지방성불중독병촌이개수전적수불분위경、중、중3류,분별추취2、4、4개조사촌.대미개수적촌안동、서、남、북、중5개방위채집5빈수양,측정수불;대이개수병촌,추검3빈말소수양화1빈수원수양측정수불,수불측정용<지방성불중독병구음수불화물적측정방법>;용Dean법대조사촌소유8～12세인동진행불반아검사,병안년령단각추검6인적뇨불;뇨불측정채용리자선택전겁법;대조사촌16세급이상성인진행림상불골증검사,재중등병구화중병구조사촌,매촌안년령단추취약20인진행X선불골증검사.결과 공검사8～12세인동562명,불반아검출솔위43.59%(245/562);검측300례8～12세인동뇨양,뇨불위1.52 mg/L:대3144명16세이상성인진행림상불골증검사,림상불골증검출솔위50.32%(1582/3144);대163명성인진행료X선박편검사,불골증검출솔위29.45%(48/163).결론 청해성지방성불중독병정잉연흔엄중,병차유회승추세,수진일보가강방치조시.
Objective To observe the state of endemic flurosis in Qinghai province in 2008 and to provide scientific basis for endemic flurosis control and prevention. Methods All the endemic fluorosis villages in Qinghai province was divided into slight,medium and heavy degree according to the water fluoride content before improving water,and 2,4,4 villages were collected from each degree,respectively. Water samples were collected from each direction of east,west,south,north and centre,and fluoride concentration were determined from each surveyed villages with unimproved-water. At the same time,3 copies of the peripheral water samples and a sample of source water were collected to determine fluoride concentration. In all the village children aged 8 to 12 were tested for dental fluorosis by Dean method. Six copies of the urinary fluoride were randomly sampled in different age groups. The fluorine content in urine was determined with F-ion selective electrode. The situation of clinical skeletal fluorosis of adults over 16 years of age was examined,and 20 adults in the villages of medium and heavy levels were filmed for skeletal fluorosis. Results The detectable rate of dental fluorosis of children aged 8-12 years old was 43.59% (245/562),that of skeletal flurosis of adults aged above 16 years was 50.32% (1582/3144) and detectable rate of X-ray was 29.45% (48/163). Fluoride content in urine was 1.52 mg/L. Conclusions Endemic fluorosis is still very serious in Qiaghai province in a rising trend,so the control measures need to be strengthen.
