山西省1990～2012年大骨节病病情消长趋势分析

目的通过对1990～2012年大骨节病监测结果进行分析，掌握山西省大骨节病病情动态及消长趋势，为实现基本消除大骨节病防治目标提供依据。方法按照全国大骨节病监测方案要求，统一标准和方法。对监测点7～12岁儿童进行临床检查及右手正位x线检查，个别年份进行全体居民或16岁以上成人临床检查。结果1990、1999年2个定点监测点大骨节病Ⅰ度以上临床患病率分别为24．93％、11．70％和10．60％、8．20％；2008年成人大骨节病共计调查了13871人，临床检出人数801人，检出率为5．77％。7～12岁儿童临床及x线检查结果显示，1994～2012年所有监测点临床未检出阳性病例；1992—2012年x线阳性率全部〈5％，骨端阳性率〈3％。结论山西省大骨节病从20世纪90年代起病情持续下降，现已处于稳定控制态势，“十二五”末能够达到基本消除大骨节病的阶段目标。

Analysis of the decline and growth trend of Kaschin-Beck disease in Shanxi Province from 1990 to 2012

Objective Through analyezing the surveillance results of Kashin-Beck disease（KBD） from 1990 to 2012, to find out the epedimic characteristics and tendency of KBD in Shanxi province, and to provide scientific evidence to prevent and control KBD. Methods According to the standards and methods of＂the national Kashin-Beck monitoring scheme＂, clinical examination and X-ray were used to children from 7 to 12 every year, and were used to the people of over 16 years old or all the residents several years. Result Over I KBD clinical morbidity degree rate of the two points were 24.93%, 11.70% and 10.60%, 8. 20%, in 1990 and 1999. 13 871 adults were investigated in 2008, and 801 patients were found and the detectable rate was 5. 77%. X-ray results of the children from 7 to 12 years old showed： There was no detected positie case from 1994 to 2012; X-ray positive rate was less than 5% from 1992 to 2012; bone end rate was less than 3%. Conclusions Kaschin-Beck disease rate of Shanxi showed a decling trend from 1990s and was in a stability control situation. The aim of elimination KBD will achieve in the end period of 12th five-year plan.