中华地方病学杂志
中華地方病學雜誌
중화지방병학잡지
Chinese Journal of Endemiology
2014年
3期
327-330
,共4页
魏生英%鲁青%杨萍%陈萍%李生梅%喇翠玲%姜泓%何多龙%吴海坤
魏生英%魯青%楊萍%陳萍%李生梅%喇翠玲%薑泓%何多龍%吳海坤
위생영%로청%양평%진평%리생매%나취령%강홍%하다룡%오해곤
僧侣%饮茶%氟化物%中毒
僧侶%飲茶%氟化物%中毒
승려%음다%불화물%중독
Monks%Tea%Fluoride%Poisoning
目的 全面了解饮茶型氟中毒在青海省僧侣中的分布与危害.方法 全省抽选28个县,每个县选1个寺院,作为调查点.登记每个僧侣日饮茶水量和寺院年人均砖茶消耗量,采集僧侣饮水、砖茶和尿样,检测氟含量;对8~ 12岁儿童和16岁以上成人僧侣进行氟斑牙检查;同时对16岁以上僧侣进行临床氟骨症检查,并抽取其中1个寺院,进行氟骨症X线检查.水氟、茶氟和尿氟测定采用离子选择电极法,氟斑牙检查采用《氟斑牙诊断标准》(WS/T 208-2001),氟骨症诊断依据《地方性氟骨症诊断标准》(WS 192-1999).结果 共检测生活饮用水28份,水氟均值为(0.26±0.13) mg/L;砖茶69份,茶氟均值为667.12 mg/kg.共调查成人僧侣777人,日饮茶水量为(1 943.93±1 078.93)ml;共调查儿童僧侣224人,日饮茶水量为(795.09±389.81)ml;年均砖茶消耗量为5.30 kg;成人日均摄氟量为4.47 mg,儿童为1.83 mg;对1 001名僧侣进行氟斑牙检查,氟斑牙检出率为29.07%(291/1 001),其中8~ 12岁儿童氟斑牙检出率为39.74%(93/234);16岁以上成人氟斑牙检出率为26.00%(202/777).临床氟骨症检出率为4.76%(37/777),X线氟骨症检出率为4.88%(2/41).检测成人尿样777份,尿氟几何均数为1.11 mg/L,范围为0.15 ~ 10.00mg/L;儿童尿样224份,尿氟几何均数为1.23 mg/L,范围为0.08 ~ 6.62 mg/L.结论 青海省僧侣砖茶消耗量大、砖茶氟含量高,由饮砖茶引起的氟中毒分布广、病情重,亟待制定有效措施控制流行.
目的 全麵瞭解飲茶型氟中毒在青海省僧侶中的分佈與危害.方法 全省抽選28箇縣,每箇縣選1箇寺院,作為調查點.登記每箇僧侶日飲茶水量和寺院年人均磚茶消耗量,採集僧侶飲水、磚茶和尿樣,檢測氟含量;對8~ 12歲兒童和16歲以上成人僧侶進行氟斑牙檢查;同時對16歲以上僧侶進行臨床氟骨癥檢查,併抽取其中1箇寺院,進行氟骨癥X線檢查.水氟、茶氟和尿氟測定採用離子選擇電極法,氟斑牙檢查採用《氟斑牙診斷標準》(WS/T 208-2001),氟骨癥診斷依據《地方性氟骨癥診斷標準》(WS 192-1999).結果 共檢測生活飲用水28份,水氟均值為(0.26±0.13) mg/L;磚茶69份,茶氟均值為667.12 mg/kg.共調查成人僧侶777人,日飲茶水量為(1 943.93±1 078.93)ml;共調查兒童僧侶224人,日飲茶水量為(795.09±389.81)ml;年均磚茶消耗量為5.30 kg;成人日均攝氟量為4.47 mg,兒童為1.83 mg;對1 001名僧侶進行氟斑牙檢查,氟斑牙檢齣率為29.07%(291/1 001),其中8~ 12歲兒童氟斑牙檢齣率為39.74%(93/234);16歲以上成人氟斑牙檢齣率為26.00%(202/777).臨床氟骨癥檢齣率為4.76%(37/777),X線氟骨癥檢齣率為4.88%(2/41).檢測成人尿樣777份,尿氟幾何均數為1.11 mg/L,範圍為0.15 ~ 10.00mg/L;兒童尿樣224份,尿氟幾何均數為1.23 mg/L,範圍為0.08 ~ 6.62 mg/L.結論 青海省僧侶磚茶消耗量大、磚茶氟含量高,由飲磚茶引起的氟中毒分佈廣、病情重,亟待製定有效措施控製流行.
목적 전면료해음다형불중독재청해성승려중적분포여위해.방법 전성추선28개현,매개현선1개사원,작위조사점.등기매개승려일음다수량화사원년인균전다소모량,채집승려음수、전다화뇨양,검측불함량;대8~ 12세인동화16세이상성인승려진행불반아검사;동시대16세이상승려진행림상불골증검사,병추취기중1개사원,진행불골증X선검사.수불、다불화뇨불측정채용리자선택전겁법,불반아검사채용《불반아진단표준》(WS/T 208-2001),불골증진단의거《지방성불골증진단표준》(WS 192-1999).결과 공검측생활음용수28빈,수불균치위(0.26±0.13) mg/L;전다69빈,다불균치위667.12 mg/kg.공조사성인승려777인,일음다수량위(1 943.93±1 078.93)ml;공조사인동승려224인,일음다수량위(795.09±389.81)ml;년균전다소모량위5.30 kg;성인일균섭불량위4.47 mg,인동위1.83 mg;대1 001명승려진행불반아검사,불반아검출솔위29.07%(291/1 001),기중8~ 12세인동불반아검출솔위39.74%(93/234);16세이상성인불반아검출솔위26.00%(202/777).림상불골증검출솔위4.76%(37/777),X선불골증검출솔위4.88%(2/41).검측성인뇨양777빈,뇨불궤하균수위1.11 mg/L,범위위0.15 ~ 10.00mg/L;인동뇨양224빈,뇨불궤하균수위1.23 mg/L,범위위0.08 ~ 6.62 mg/L.결론 청해성승려전다소모량대、전다불함량고,유음전다인기적불중독분포엄、병정중,극대제정유효조시공제류행.
Objective To know the distribution and harm of brick-tea type fluorosis in monks in Qinghai Province.Methods Twenty-eight temples were selected as survey sites from 28 counties of Qinghai Province.The amounts of drinking tea-water of each monk and the brick tea capita consumption per temple each year were recorded.Drinking water,tea water and urine samples of monks were collected and fluorine content was tested; dental fluorosis of children aged 8-12 years and of adult monks over the age of 16 were examined; clinical skeletal fluorosis of monks 16 years of age and older and X-ray skeletal fluorosis of all adult monks in the temple were examined.Fluorine content in drinking water,brick tea and urine was tested using F-ion selective electrode.Dental fluorosis was checked using the dental fluorine diagnostic criteria (WS/T 208-2001),and skeletal fluorosis was diagnosed based on the endemic skeletal fluorosis diagnosis standard (WS 192-1999).Results A total of 28 copies of drinking water samples were tested,and mean water fluoride was (0.26 ± 0.13) mg/L; in the 69 copies of brick tea,the mean fluoride value was 667.12 mg/kg; a total of 777 adult monks,the average daily drinking water of brick tea was (1 943.93 ± 1 078.93)ml; a total of 224 children monks,the average daily drinking water of brick tea was (795.09 ± 389.81)ml; annual per capita consumption of brick was 5.30 kg; adult daily fluoride intake was 4.47 mg,child was 1.83 mg; the prevalence rate of dental fluorosis was 29.07%(291/1 001),the prevalence rate of dental fluorosis of 8-12 years old children was 39.74%(93/234),the adult was 26.00%(202/777); the prevalence rate of clinical skeletal fluorosis was 4.76%(37/775); and the prevalence rate of X-ray skeletal fluorosis was 4.88%(2/41).The geometric mean of adult urinary fluoride was 1.11 mg/L(0.15-10.00 mg/L) of the 777 copies of urine samples tested,and that value of children was 1.23 mg/L(0.08-6.62 mg/L) of the 224 copies of samples.Conclusions The amount of annual brick tea consumption and daily intake of fluoride are big; brick-tea type fluorosis is serious and widely distributed in monks,so effective measures to control the epidemic are in urgent need.