青岛市地方性氟中毒病区成人氟骨症流行现状调查分析

目的了解青岛市地方性氟中毒病区成人氟骨症的流行现状。方法采用流行病学抽样调查的方法,对青岛市主要氟病区平度、莱西、胶州、即墨等4市(县)1517例30岁以上成年人进行了临床症状与体征及X线检查。结果4市(县)共检查30岁以上成年人1517例,临床与X线氟骨症阳性检出率平均为15.00%,病情以平度市最为严重,检出率高达27.80%,并出现了10例临床3度、13例X线Ⅲ期病例;不同年龄段之间氟骨症检出率存在明显差异,随着年龄的增高检出率逐渐上升,且病情也随之加重;在不同性别人群之间氟骨症检出率无明显差异,但男性较女性显示了上升的趋势。结论青岛市病区成人氟骨症尚存在一定程度的流行,地方性氟中毒尚未达到完全控制;不同年龄段人群均有病例出现,随着年龄增长氟骨症检出率逐渐上升,且病情随之加重。

Investigation on prevalent condition of skeletal fluorosis of the adult in the endemic fluorosis areas of Qingdao City

Objective To investigate prevailing status of osteofluorosis in the adult of the endemic fluorosis areas in Qingdao City at present, Methods, By using epidemiological sampling method, such indexes of clinical symptom, sign and X - ray of endemic fluorosis among the adult aged above 30 years old were investigated in Pingdu, Laixi , Jiaozhou and Jimo four fluorosis areas. Results Among 1 517 case aged abve 30, the detectable rate of osteofluorosis of both X - ray and of clinic were 15.0% on average, Pingdu was most serious city with a prevalence rate 27.8%, and 10 m - degree clinical osteofluorosis and 13 m - degree X - ray osteofluoros,s were found; The prevlence rate of osteofluorosis were obviously different in different age-grade, as age was growing, detectable rate was ascensional and the symptom and sign were more serious; No obvious difference were found about the prevalence rate of skeletal fluorosis in different sex people, but the male tended to be ascending compare with the female. Conclusions In Qingdao, osteofluorosis is still prevailing in the adult in the fluorosis areas, endemic fluorosis is still out of control; The osteofluorosis cases are found in different age - grade, as age is growing, the prevalence rate of osteofluorosis is ascending and the state was more serious.