CAJ | 학술논문

目的了解吉林省山区儿童大骨节病的流行现状和影响因素.方法 2012年,在吉林省山区,采用分层整群抽样法,抽取18个病区县(市)、282个病区村,依据《大骨节病诊断》(WS/T 207-2010)标准,临床和X线检查病区村全部7～ 12岁儿童大骨节病病情,同时对调查区域家庭2009-2011年经济收入水平以及改种经济作物、外购换粮、退耕还林草比例进行调查.结果被调查的14 162名儿童均无临床症状,X线检查阳性者28名,且主要表现为干骺端阳性,X线总检出率为1.98‰.2009-2011年平均年人均收入≥5 000元地区,儿童大骨节病X线检出率明显小于年人均收入＜5000元地区(1.47‰ vs.3.67‰,x2=6.179,P＜0.05);而退耕还林草占原耕地面积比例＞1％地区和≤1％地区儿童大骨节病X线检出率比较,差异无统计学意义(3.30‰ vs.1.57‰,x2=3.876,P＞0.05);改种经济作物占原耕地面积＞10％地区和≤10％地区儿童大骨节病X线检出率比较,差异无统计学意义(3.07‰vs.1.65‰,x2=2.565,P＞0.05);外购换粮比例＞50％地区和≤50％地区儿童大骨节病X线检出率比较,差异无统计学意义(3.07‰vs.1.65‰,x2=2.565,P＞0.05).结论 2012年吉林省山区7～12岁儿童基本达到了大骨节病消除标准,病情处于稳定状态.家庭经济收入水平可能是大骨节病发病的影响因素.
목적 료해길림성산구인동대골절병적류행현상화영향인소.방법 2012년,재길림성산구,채용분층정군추양법,추취18개병구현(시)、282개병구촌,의거《대골절병진단》(WS/T 207-2010)표준,림상화X선검사병구촌전부7～ 12세인동대골절병병정,동시대조사구역가정2009-2011년경제수입수평이급개충경제작물、외구환량、퇴경환림초비례진행조사.결과 피조사적14 162명인동균무림상증상,X선검사양성자28명,차주요표현위간후단양성,X선총검출솔위1.98‰.2009-2011년평균년인균수입≥5 000원지구,인동대골절병X선검출솔명현소우년인균수입＜5000원지구(1.47‰ vs.3.67‰,x2=6.179,P＜0.05);이퇴경환림초점원경지면적비례＞1％지구화≤1％지구인동대골절병X선검출솔비교,차이무통계학의의(3.30‰ vs.1.57‰,x2=3.876,P＞0.05);개충경제작물점원경지면적＞10％지구화≤10％지구인동대골절병X선검출솔비교,차이무통계학의의(3.07‰vs.1.65‰,x2=2.565,P＞0.05);외구환량비례＞50％지구화≤50％지구인동대골절병X선검출솔비교,차이무통계학의의(3.07‰vs.1.65‰,x2=2.565,P＞0.05).결론 2012년길림성산구7～12세인동기본체도료대골절병소제표준,병정처우은정상태.가정경제수입수평가능시대골절병발병적영향인소.
Objective To understand the epidemic status quo and influencing factors of Kashin-Beck disease among children in mountain areas of Jilin Province.Methods Two hundred eighty-two severe endemic areas in 18 counties were selected and stratified by random cluster sampling method,and the status quo of KashinBeck disease prevalence was investigated among 7-12 year-old children according to the "Diagnostic Criteria of Kashin-Beck Disease" (WS/T 207-2010).In the meantime,the annual household income and the proportion of economic crops replanted,grain out-sourced,and returning farmlands to forests and grass were surveyed in the disease affected areas.Results A total of 14 162 children were investigated who had no clinical symptoms.Among them,28 cases were detected positive using X-ray with a detection rate of 1.98‰,while most of the cases were metaphysis positive.The annual household income (≥5 000 Yuan vs.＜ 5 000 Yuan) in the year 2009-2011 had a significant impact on the incidence of Kashin-Beck disease (1.47‰ vs.3.67‰,x2 =6.179,P ＜ 0.05),while the areas of returning farmland to forests and grass which accounted ＞ 1％ had no significant influence on the incidence compared with that ≤ 1％ (3.30‰ vs.1.57‰,x2 =3.876,P ＞ 0.05);the areas of economic crops replanting which accounted ＞ 10％ had no significant influence on the incidence compared with that ≤ 10％ (3.07‰ vs.1.65‰,x2 =2.565,P ＞ 0.05);the proportion of grain out-sourcing which accounted ＞ 50％ had no significant influence on the incidence compared with that ≤50％ (3.07‰ vs.1.65‰,x2 =2.565,P ＞ 0.05).Conehision Up to 2012,the disease among 7-12 year-old children of the mountain areas of Jilin Province have basically met the standard of Kashin-Beck disease elimination and the situation remains stable;furthermore,the household income has a significant impact on the incidence of Kashin-Beck disease.