2008年三门峡市大骨节病病情监测结果分析

目的 了解三门峡市大骨节病病情现状,为大骨节病防治提供依据.方法 按照国家及河南省<2007年地方病防治项目技术实施方案>的要求,2008年在三门峡市大骨节病病区选择地形、地貌、生产及生活方式上具有代表性的陕县张村乡窑店、庙洼村,灵宝市朱阳镇朱阳村进行7～12岁儿童大骨节病临床调查,同时拍右手X线片、采集部分儿童发样和...

Outcome analysis of Kaschin-Beck disease Monitoring in Sanmenxia City in 2008

Objective To underst and Kaschin-Beck disease（KBD） status in Sanmenxia City and provide the basis for the further prevention and treatment of KBD.Methods According to The National and Henan Province Technical Scheme for Endemic Disease Control in 2007,Children aged 7 to 12 in 3 villages（Yaodian,Miaowa and Zhuyang） with the same environment such as topography,physiognomy,production mode and living habits in Shan County and Lingbao City were selected to undertake KBD clinical examination in 2008.X-ray examination of nght hand and child hair samples and food samples were coileeted to determine the content of selenium.Selenium was determined using 2,3-Diaminonaphthalene method.Adults who were 16 years or older in 5 counties（Lingbao,Mianchi,Shan and Lushi） were selected and examined for KBD.Results One hundred and ninty aged children 7 to 12 were clinically examined and clinical KBD were found,Whereas 3 children were diagnosed as KBD by X-ray examination,the positive rate was 1.58 %（3/190）.All 16222 adults were clinically examined and KBD prevelance rate was（6.65 %,1079/16 222）,including degree I（4.46 %,723/16 222）,degree II（1.82 %,295/16 222）,degreeⅢ（0.38 %,61/16 222）.The average selenium contents samples in hair and food samples were（0.319±0.128）mg/kg and（0.031±0.009）mg/kg,respectively.Conclusions Although KBD in children have been controlled in Sanmenxia City.It is still compare serious in adults.So the monitoring of KBD should be carried on and prevention and control for KBD in adults should strengthened.,which especially suggested that secondary prevention with the objective of clinically treating KBD patients should be strengthened.