中华地方病学杂志
中華地方病學雜誌
중화지방병학잡지
Chinese Journal of Endemiology
2013年
6期
659-661
,共3页
贾丽辉%马景%杜永贵%马东瑞%梁索理%周朝辉
賈麗輝%馬景%杜永貴%馬東瑞%樑索理%週朝輝
가려휘%마경%두영귀%마동서%량색리%주조휘
饮水%氟中毒,牙%氟骨症%数据收集
飲水%氟中毒,牙%氟骨癥%數據收集
음수%불중독,아%불골증%수거수집
Drinking water%Fluorosis,dental%Skeletal fluorosis%Data collection
目的 了解饮水型地方性氟中毒的病情动态,评价防治措施的落实效果,为及时调整防治策略提供科学依据.方法 在河北省的10个饮水型氟中毒病区市各抽取1个县(市、区),每个县(市、区)调查10个改水工程运行情况及采集水样,了解改水工程水氟含量.在每个县(市、区)抽取3个村进行病情监测,监测包括改水工程运行情况、水氟含量、8～ 12岁学生氟斑牙检查和成人氟骨症X线检查.结果 共调查93个改水工程,工程正常运转率为94.6％(88/93),水氟含量(国家标准≤1.2 mg/L)合格率为54.8％(51/93),其中9个大型改水工程中,有7个工程水氟含量＞ 1.2 mg/L.在23个改水村中,水氟合格工程10个,合格率为43.4％(10/23),有3个大型改水工程水氟含量＞1.2 mg/L;8～12岁儿童氟斑牙检出率为33.2％(532/1601),氟斑牙指数为0.74;成人氟骨症X线检出率为5.7％(66/1155).在7个未改水村中,水氟＞2.0 mg/L且≤4.0 mg/L的村有2个,其余5个村水氟含量在正常范围(≤1.2 mg/L);8～12岁儿童氟斑牙检出率为33.4％(111/332),氟斑牙指数为0.72;成人氟骨症X线检出率为2.9％ (10/350).结论 河北省饮水型氟中毒流行仍然较为严重,防治措施落实不到位,改水工程水氟(≤1.2 mg/L)合格率较低,应加快改水降氟进度并提高改水工程质量.
目的 瞭解飲水型地方性氟中毒的病情動態,評價防治措施的落實效果,為及時調整防治策略提供科學依據.方法 在河北省的10箇飲水型氟中毒病區市各抽取1箇縣(市、區),每箇縣(市、區)調查10箇改水工程運行情況及採集水樣,瞭解改水工程水氟含量.在每箇縣(市、區)抽取3箇村進行病情鑑測,鑑測包括改水工程運行情況、水氟含量、8～ 12歲學生氟斑牙檢查和成人氟骨癥X線檢查.結果 共調查93箇改水工程,工程正常運轉率為94.6％(88/93),水氟含量(國傢標準≤1.2 mg/L)閤格率為54.8％(51/93),其中9箇大型改水工程中,有7箇工程水氟含量＞ 1.2 mg/L.在23箇改水村中,水氟閤格工程10箇,閤格率為43.4％(10/23),有3箇大型改水工程水氟含量＞1.2 mg/L;8～12歲兒童氟斑牙檢齣率為33.2％(532/1601),氟斑牙指數為0.74;成人氟骨癥X線檢齣率為5.7％(66/1155).在7箇未改水村中,水氟＞2.0 mg/L且≤4.0 mg/L的村有2箇,其餘5箇村水氟含量在正常範圍(≤1.2 mg/L);8～12歲兒童氟斑牙檢齣率為33.4％(111/332),氟斑牙指數為0.72;成人氟骨癥X線檢齣率為2.9％ (10/350).結論 河北省飲水型氟中毒流行仍然較為嚴重,防治措施落實不到位,改水工程水氟(≤1.2 mg/L)閤格率較低,應加快改水降氟進度併提高改水工程質量.
목적 료해음수형지방성불중독적병정동태,평개방치조시적락실효과,위급시조정방치책략제공과학의거.방법 재하북성적10개음수형불중독병구시각추취1개현(시、구),매개현(시、구)조사10개개수공정운행정황급채집수양,료해개수공정수불함량.재매개현(시、구)추취3개촌진행병정감측,감측포괄개수공정운행정황、수불함량、8～ 12세학생불반아검사화성인불골증X선검사.결과 공조사93개개수공정,공정정상운전솔위94.6％(88/93),수불함량(국가표준≤1.2 mg/L)합격솔위54.8％(51/93),기중9개대형개수공정중,유7개공정수불함량＞ 1.2 mg/L.재23개개수촌중,수불합격공정10개,합격솔위43.4％(10/23),유3개대형개수공정수불함량＞1.2 mg/L;8～12세인동불반아검출솔위33.2％(532/1601),불반아지수위0.74;성인불골증X선검출솔위5.7％(66/1155).재7개미개수촌중,수불＞2.0 mg/L차≤4.0 mg/L적촌유2개,기여5개촌수불함량재정상범위(≤1.2 mg/L);8～12세인동불반아검출솔위33.4％(111/332),불반아지수위0.72;성인불골증X선검출솔위2.9％ (10/350).결론 하북성음수형불중독류행잉연교위엄중,방치조시락실불도위,개수공정수불(≤1.2 mg/L)합격솔교저,응가쾌개수강불진도병제고개수공정질량.
Objective To find out the status of drinking-water-borne endemic fluorosis and the effect of preventive measures in Hebei Province,so as to provide a basis to prevent and cure fluorosis.Methods One affected county (city,district) with drinking-water-borne endemic fluorosis was sampled in every city and 10 water improvement projects were investigated in that county.Three villages were taken out in every county.The operating state of the projects,the water fluoride content,and the dental fluorosis of children aged 8-12 and skeletal fluorosis of adults were investigated in these villages.Results A total of 93 projects were investigated,among which 94.6％(88/93) were operating properly and the qualified rate(fluoride content ≤ 1.2 mg/L) of the projects was 54.84％(51/93).Among the 9 large projects,the water fluoride content of 7 projects exceeded 1.2 mg/L.A total of 23 villages with water improvement projects were investigated and only 43.4％ (10/23) of them water fluoride content were lower than 1.2 mg/L.The dental fluorosis rate,the dental fluorosis index and the rate of skeletal fluorosis were 33.2％ (532/1601),0.74 and 5.7％ (66/1155),respectively.In the 7 villages without water improvement projects,2 of them exceeded 2.0 mg/L,but lower than and equal to 4.0 mg/L of water fluorosis and 5 of them were normal(＜ 1.2 mg/L).The dental fluorosis rate,the dental fluorosis index and the rate of skeletal fluorosis were 33.4％ (111/332),0.72 and 2.9％ (10/350),respectively.Conclutions The qualified rate of water improvement projects of fluoride content ≤ 1.2 mg/L is low and the endemic fluorosis is still comparatively serious in Hebei Province.The progress of water improvement projects in the areas with endemic fluorosis should be accelerated and the quality of water improvement projects should be increased.
