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
187-190
,共4页
韩贺鹏%沈雁峰%王涵%高彦辉
韓賀鵬%瀋雁峰%王涵%高彥輝
한하붕%침안봉%왕함%고언휘
茶%氟中毒,牙%氟骨症%聚类分析%数据收集
茶%氟中毒,牙%氟骨癥%聚類分析%數據收集
다%불중독,아%불골증%취류분석%수거수집
Tea%Fluorosis,dental%Osteofluorosis%Cluster analysis%Data collection
目的 应用聚类分析方法对全国饮茶型氟中毒流行现况调查数据进行分析,明确全国各病区省级或市级病情的分类层次,以指导饮茶型氟中毒的防治.方法 利用2007年全国饮茶型氟中毒流行现况调查数据库,以Ⅱ度及以上临床氟骨症检出率为聚类指标,对全部调查资料进行聚类分析,绘制聚类图,根据聚类结果进行方差分析以及两两比较.结果 全国饮茶型氟中毒病区从省级层面可分为三类:一类地区包括西藏和四川,二类地区为青海,三类地区包括内蒙古、甘肃、新疆和宁夏.从地市级层面也可分为三类:一类地区包括四川阿坝州、西藏日喀则地区及拉萨市;二类地区包括内蒙古乌兰察布市、呼伦贝尔市、包头市,青海海北州、果洛州、海西州、西宁市、海东地区,四川甘孜州,甘肃陇南市、酒泉市,新疆乌鲁木齐市和博尔塔拉州;其他地市(州、盟)为三类地区.省级及地市级一、二、三类地区Ⅱ度及以上临床氟骨症检出率(35.18％、16.21％、5.22％,41.16％、19.64％、4.19％)任意两类间比较差异均有统计学意义(P均＜0.05).结论 全国省级层面与地市级层面饮茶型氟中毒流行程度可以应用聚类分析法进行分类,聚类分析结果可以为国家有效落实饮茶型氟中毒防治措施提供科学依据.
目的 應用聚類分析方法對全國飲茶型氟中毒流行現況調查數據進行分析,明確全國各病區省級或市級病情的分類層次,以指導飲茶型氟中毒的防治.方法 利用2007年全國飲茶型氟中毒流行現況調查數據庫,以Ⅱ度及以上臨床氟骨癥檢齣率為聚類指標,對全部調查資料進行聚類分析,繪製聚類圖,根據聚類結果進行方差分析以及兩兩比較.結果 全國飲茶型氟中毒病區從省級層麵可分為三類:一類地區包括西藏和四川,二類地區為青海,三類地區包括內矇古、甘肅、新疆和寧夏.從地市級層麵也可分為三類:一類地區包括四川阿壩州、西藏日喀則地區及拉薩市;二類地區包括內矇古烏蘭察佈市、呼倫貝爾市、包頭市,青海海北州、果洛州、海西州、西寧市、海東地區,四川甘孜州,甘肅隴南市、酒泉市,新疆烏魯木齊市和博爾塔拉州;其他地市(州、盟)為三類地區.省級及地市級一、二、三類地區Ⅱ度及以上臨床氟骨癥檢齣率(35.18％、16.21％、5.22％,41.16％、19.64％、4.19％)任意兩類間比較差異均有統計學意義(P均＜0.05).結論 全國省級層麵與地市級層麵飲茶型氟中毒流行程度可以應用聚類分析法進行分類,聚類分析結果可以為國傢有效落實飲茶型氟中毒防治措施提供科學依據.
목적 응용취류분석방법대전국음다형불중독류행현황조사수거진행분석,명학전국각병구성급혹시급병정적분류층차,이지도음다형불중독적방치.방법 이용2007년전국음다형불중독류행현황조사수거고,이Ⅱ도급이상림상불골증검출솔위취류지표,대전부조사자료진행취류분석,회제취류도,근거취류결과진행방차분석이급량량비교.결과 전국음다형불중독병구종성급층면가분위삼류:일류지구포괄서장화사천,이류지구위청해,삼류지구포괄내몽고、감숙、신강화저하.종지시급층면야가분위삼류:일류지구포괄사천아패주、서장일객칙지구급랍살시;이류지구포괄내몽고오란찰포시、호륜패이시、포두시,청해해북주、과락주、해서주、서저시、해동지구,사천감자주,감숙롱남시、주천시,신강오로목제시화박이탑랍주;기타지시(주、맹)위삼류지구.성급급지시급일、이、삼류지구Ⅱ도급이상림상불골증검출솔(35.18％、16.21％、5.22％,41.16％、19.64％、4.19％)임의량류간비교차이균유통계학의의(P균＜0.05).결론 전국성급층면여지시급층면음다형불중독류행정도가이응용취류분석법진행분류,취류분석결과가이위국가유효락실음다형불중독방치조시제공과학의거.
Objective Cluster analysis method was applied to analyze the data of brick-tea-born fluorosis,to clarify the provincial and municipal classification hierarchy in nation-wide epidemic areas and to guide the prophylaxis and treatment of the disease.Methods Prevalence survey database of the 2007 national brick-tea-born fluorosis was analyzed.Detection rate of second degree and above clinical skeletal fluorosis as clustered index,clustering analysis of all survey data was carried out,clustering figure was drawn,and analysis of variance and multiple comparison was done.Results The provincial level of the nation-wide epidemic areas of the brick-teaborn fluorosis could be classified into three categories:the first category including Tibet and Sichuan province,the second category including Qinghai province,and the third including Inner Mongolia,Gansu,Xinjiang and Ningxia provinces; The city-level they were also could be classified into three categories:the first category including Aba,Shigatse region and Lhasa,the second including Wulanchabu,Hulun Buir,Baotou,Qinghai state,Guoluo state,Haixi state,Xining city,Haidong state,Ganzi state,Longnan city,Jiuquan city,Urumqi city and the state of Bortala,and the other cities were the third category cities.The differences of clinical skeletal fluorosis detection rate between the first,second,and third provincial and municipal categories(35.18％,16.21％,5.22％,41.16％,19.64％,4.19％) were statistically significant (all P ＜ 0.05).Conclusions Brick-tea-born fluorosis can be classified by using cluster analysis at the provincial and municipal levels.Cluster analysis results can provide a scientific basis for effective implementation of the prophylaxis and treatment of brick-tea-born fluorosis.
