CAJ | 학술논문

目的调查山西省儿童及成人大骨节病的病情现状及消长趋势,评估防治效果,为调整防治策略提供科学依据.方法 2008年,按照<2007年度国家大骨节病防治项目技术方案>的要求,在山西省选取2个大骨节病历史重病区村作为儿童大骨节病病情调查点,对全部7～12岁儿童进行临床检查及右手X线拍片检查,X线片观察部位为掌指骨及腕关节;在山西省13个大骨节病病区县,选取50个村作为成人大骨节病病情调查点,对16岁及以上的常住人口进行大骨节病病情调查.大骨节病诊断按<大骨节病诊断标准>(GB 16003-1995)执行.成人大骨节病临床检查结果按病情进行分度和按年龄进行分组,计算检出率.结果儿童大骨节病共调查181人,临床未检出阳性病例.X线检出2例干骺端阳性病例,检出率为1.10%;骨端未检出阳性病例.成人大骨节病共调查13 871人,临床检出病例数801名,检出率为5.77%.患者主要分布在51岁以上人群中,大骨节病检出率随着年龄的增加而增加,占总检出人数的70.66%(566/801);51岁以上各年龄段Ⅱ度、Ⅲ度检出率,占所有Ⅱ度、Ⅲ度检出率的71.78%(206/287).结论山西省儿童大骨节病病情稳定在基本控制范围内,成人大骨节病检出率较高,成人大骨节病救治问题应引起有关部门重视.
목적 조사산서성인동급성인대골절병적병정현상급소장추세,평고방치효과,위조정방치책략제공과학의거.방법 2008년,안조<2007년도국가대골절병방치항목기술방안>적요구,재산서성선취2개대골절병역사중병구촌작위인동대골절병병정조사점,대전부7～12세인동진행림상검사급우수X선박편검사,X선편관찰부위위장지골급완관절;재산서성13개대골절병병구현,선취50개촌작위성인대골절병병정조사점,대16세급이상적상주인구진행대골절병병정조사.대골절병진단안<대골절병진단표준>(GB 16003-1995)집행.성인대골절병림상검사결과안병정진행분도화안년령진행분조,계산검출솔.결과 인동대골절병공조사181인,림상미검출양성병례.X선검출2례간후단양성병례,검출솔위1.10%;골단미검출양성병례.성인대골절병공조사13 871인,림상검출병례수801명,검출솔위5.77%.환자주요분포재51세이상인군중,대골절병검출솔수착년령적증가이증가,점총검출인수적70.66%(566/801);51세이상각년령단Ⅱ도、Ⅲ도검출솔,점소유Ⅱ도、Ⅲ도검출솔적71.78%(206/287).결론 산서성인동대골절병병정은정재기본공제범위내,성인대골절병검출솔교고,성인대골절병구치문제응인기유관부문중시.
Objective To investigate the current situation and variation in the tendency of Kaschin-Beck disease (KBD) in Shanxi province, to assess the effectiveness of prevention measures, and to provide evidence for making scientific and effective tactics in prevention and control of the disease. Methods In 2008, according to "The National Technical Scheme for Kaschin-Beck Disease Control in 2007", children aged 7 - 12 years underwent clinical and X-ray examination in two historical severe KBD areas of Shanxi province, the observed position on Xray film was finger bone and carpal bone. Adults aged 16 years and above were clinically examined in 50 villages of 13 counties of KBD areas, Shanxi province. The diagnosis was based on "Diagnostic Standard of Kashin-Beck Disease"(GB 16003-1995), the adult patients were degreed according to the state of illness and divided into different groups according to their ages. Results A total of 181 children were examined, none of them was diagnosed as clinical KBD patient. The positive cases of X-ray were 2, X-ray detectable rate of metaphysis was 1.1% for children.In the 50 villages 13 871 of adults were examined and 801 KBD patients were found and the detectable rate was 5.77%. The detectable rate increased with age. The adult patients distributed mainly in the subpopulation aged 51years and above and these patients accounted for 70.66% (566/801) of total people examined. Degrees Ⅱ and Ⅲ patients at these ages accounted for 71.78%(206/287) of total degrees Ⅱ and Ⅲ patients. Conclusions The state of child KBD in Shanxi is under the national control standards. The detectable rate of adult KBD is higher. Relevant departments should pay close attention to the treatment of adult patients.