中华地方病学杂志
中華地方病學雜誌
중화지방병학잡지
Chinese Journal of Endemiology
2014年
5期
530-533
,共4页
李振林%张慧敏%赵成祥%李艳红%陈波
李振林%張慧敏%趙成祥%李豔紅%陳波
리진림%장혜민%조성상%리염홍%진파
氟中毒,牙%氟骨症%茶%尿
氟中毒,牙%氟骨癥%茶%尿
불중독,아%불골증%다%뇨
Fluorosis,dental%Osteofluorosis%Tea%Urine
目的 了解内蒙古自治区饮茶型氟中毒病区病情变化趋势,评价防控措施效果.方法 2009、2012年,在内蒙古自治区分别抽取相同的6个监测旗县,每个监测旗县抽取5个病区村,每个监测村抽取10户家庭,检测砖茶氟含量;检查病区村所有8～ 12岁学生氟斑牙患病情况及所有36～45岁成人氟骨症患病情况.2012年,在每个监测村,按东、南、西、北、中5个方位在采集饮用水源水样各l份,检测水氟含量.结果 2009年监测村砖茶氟含量均值为541.48 mg/kg,氟含量≤300 mg/kg的占17.63％(49/278);2012年砖茶氟含量均值为536.06 mg/kg,氟含量≤300 mg/kg的占11.00％(33/300).水氟超标村数占总数的40.00％ (12/30).2009年儿童氟斑牙检出率为52.39％(274/523),其中极轻、轻、中、重度病例分别占9.56％(50/523)、19.86％(104/523)、21.03％(110/523)、1.91％(10/523);2012年儿童氟斑牙检出率为35.71％(200/560),其中极轻、轻、中、重度病例分别占14.11％(79/560)、11.43％ (64/560)、9.64％(54/560)、0.54％(3/560);2012年与2009年相比,中、重度病例所占比例减少,病情有所下降(W=40 696.0,P＜0.01).2009年成人氟骨症检出率为23.52％(167/710),其中轻、中、重度病例分别占17.32％(123/710)、4.51％(32/710)、1.69％ (12/710);2012年成人氟骨症检出率为20.12％(103/512),其中轻、中、重度病例分别占17.38％(89/512)、2.54％(13/512)、0.20％(1/512);2012年与2009年比较,中、重度病例减少,病情有所下降(W=12 797.5,P＜0.01).结论 内蒙古自治区饮茶型氟中毒病情得到了一定程度的控制,但部分地区高氟砖茶危害仍很严重,防治工作还需要进一步加强.
目的 瞭解內矇古自治區飲茶型氟中毒病區病情變化趨勢,評價防控措施效果.方法 2009、2012年,在內矇古自治區分彆抽取相同的6箇鑑測旂縣,每箇鑑測旂縣抽取5箇病區村,每箇鑑測村抽取10戶傢庭,檢測磚茶氟含量;檢查病區村所有8～ 12歲學生氟斑牙患病情況及所有36～45歲成人氟骨癥患病情況.2012年,在每箇鑑測村,按東、南、西、北、中5箇方位在採集飲用水源水樣各l份,檢測水氟含量.結果 2009年鑑測村磚茶氟含量均值為541.48 mg/kg,氟含量≤300 mg/kg的佔17.63％(49/278);2012年磚茶氟含量均值為536.06 mg/kg,氟含量≤300 mg/kg的佔11.00％(33/300).水氟超標村數佔總數的40.00％ (12/30).2009年兒童氟斑牙檢齣率為52.39％(274/523),其中極輕、輕、中、重度病例分彆佔9.56％(50/523)、19.86％(104/523)、21.03％(110/523)、1.91％(10/523);2012年兒童氟斑牙檢齣率為35.71％(200/560),其中極輕、輕、中、重度病例分彆佔14.11％(79/560)、11.43％ (64/560)、9.64％(54/560)、0.54％(3/560);2012年與2009年相比,中、重度病例所佔比例減少,病情有所下降(W=40 696.0,P＜0.01).2009年成人氟骨癥檢齣率為23.52％(167/710),其中輕、中、重度病例分彆佔17.32％(123/710)、4.51％(32/710)、1.69％ (12/710);2012年成人氟骨癥檢齣率為20.12％(103/512),其中輕、中、重度病例分彆佔17.38％(89/512)、2.54％(13/512)、0.20％(1/512);2012年與2009年比較,中、重度病例減少,病情有所下降(W=12 797.5,P＜0.01).結論 內矇古自治區飲茶型氟中毒病情得到瞭一定程度的控製,但部分地區高氟磚茶危害仍很嚴重,防治工作還需要進一步加彊.
목적 료해내몽고자치구음다형불중독병구병정변화추세,평개방공조시효과.방법 2009、2012년,재내몽고자치구분별추취상동적6개감측기현,매개감측기현추취5개병구촌,매개감측촌추취10호가정,검측전다불함량;검사병구촌소유8～ 12세학생불반아환병정황급소유36～45세성인불골증환병정황.2012년,재매개감측촌,안동、남、서、북、중5개방위재채집음용수원수양각l빈,검측수불함량.결과 2009년감측촌전다불함량균치위541.48 mg/kg,불함량≤300 mg/kg적점17.63％(49/278);2012년전다불함량균치위536.06 mg/kg,불함량≤300 mg/kg적점11.00％(33/300).수불초표촌수점총수적40.00％ (12/30).2009년인동불반아검출솔위52.39％(274/523),기중겁경、경、중、중도병례분별점9.56％(50/523)、19.86％(104/523)、21.03％(110/523)、1.91％(10/523);2012년인동불반아검출솔위35.71％(200/560),기중겁경、경、중、중도병례분별점14.11％(79/560)、11.43％ (64/560)、9.64％(54/560)、0.54％(3/560);2012년여2009년상비,중、중도병례소점비례감소,병정유소하강(W=40 696.0,P＜0.01).2009년성인불골증검출솔위23.52％(167/710),기중경、중、중도병례분별점17.32％(123/710)、4.51％(32/710)、1.69％ (12/710);2012년성인불골증검출솔위20.12％(103/512),기중경、중、중도병례분별점17.38％(89/512)、2.54％(13/512)、0.20％(1/512);2012년여2009년비교,중、중도병례감소,병정유소하강(W=12 797.5,P＜0.01).결론 내몽고자치구음다형불중독병정득도료일정정도적공제,단부분지구고불전다위해잉흔엄중,방치공작환수요진일보가강.
Objective To understand the trend of drinking-tea type fluorosis in the diseased areas in Inner Mongolia Autonomous Region,and to evaluate the effect of prevention and control measures.Methods In 2009 and 2012,6 monitored counties were selected in Inner Mongolia Autonomous Region; 5 diseased villages were selected in each monitored county,and 10 families were selected in each monitored village; fluorine content of brick tea was tested,and dental fluorosis conditions of all 8 to 12-year-old students and skeletal fluorosis conditions of all 36 to 45-year-old adults were examined.In 2012,in each monitored village,1 water sample of the drinking water source was collected respectively from five positions(east,south,west,north and the central of the village),and fluoride content of drinking water wastested.Results In 2009,the mean of brick tea fluorine content was 541.48 mg/kg in the monitored villages,and the fluoride content ≤ 300 mg/kg accounted for 17.62％.(49/278).In 2012,the mean of brick tea fluorine content was 536.06 mg/kg,and the fluoride content ≤300 mg/kg accounted for 11.00％(33/300).Total exceeding standard rate of the water fluoride content was 40.00％(12/30).In 2009,the detection rate of the children's dental fluorosis was 52.39％ (274/523),very mild,mild,moderate and severe cases accounted for 9.56％(50/523),19.86％(104/523),21.03％(110/523) and 1.91％(10/523),respectively.In 2012,the detection rate of the children's dental fluorosis was 35.71％(200/560),very mild,mild,moderate and severe cases accounted for 14.11％ (79/560),11.43％ (64/560),9.64％ (54/560),and 0.54％ (3/560),respectively.Compared with 2009,the proportion of moderate and severe cases reduced in 2012(W =40 696.0,P ＜ 0.01).In 2009,the detection rate of adult skeletal fluorosis was 23.52％ (167/710),mild,moderate and severe cases accounted for 17.32％(123/710),4.51％(32/710) and 1.69％(12/710),respectively.In 2012,the detection rate of adult skeletal fluorosis was 20.12％ (103/512),mild,moderate and severe cases accounted for 17.38％ (89/512),2.54％ (13/512) and 0.20％ (1/512),respectively.Compared with 2009,the proportion of moderate and severe cases reduced in 2012(W =12 797.5,P ＜ 0.01).Conclusion The drinking-tea type fluorosis in Inner Mongolia Autonomous Region has been controlled to some degree,but still serious in some areas;prevention and control measures need to be further strengthened.
