山东省鲁北地区地方性氟中毒病情调查结果分析

目的了解山东省鲁北地区地方性氟中毒病情流行状况,进一步做好该病的防治工作。方法按照国家《地方病防治项目技术方案》的要求,于2008年对山东省鲁北地区的济阳、博兴、高青、广饶、武城、夏津、宁津等7县66个村的环境氟含量与地方性氟中毒病情流行情况进行了调查。结果7县66个村居民饮水含氟量有95.45%(63/66)的村超标,水氟含量(4.0 mg/L村24个(36.36%),水氟含量最高村为5.80 mg/L。检测7县儿童即时尿氟含量879人份,平均几何均值3.49 mg/L,93.06%(818/879)个体尿氟水平超标,个体最大值21.02 mg/L。检查66个村8~12岁儿童氟斑牙2 579人,平均检出率73.52%,缺损率23.85%,氟斑牙指数1.76。临床检查16岁以上成人38 463例,氟骨症阳性检出率为4.78%(1 840/38 463);X线摄片成人402例,X线氟骨症检出率为17.91%(72/402),临床与X线氟骨症均以轻度为主。结论鲁北地区外环境水氟含量严重超标,氟中毒病情尚未得到有效控制,仍存在一定程度流行。

Endemic fluorosis in the north area of Shandong province

Objective To investigate the prevalence of endemic fluorosis in the north area of Shandong province,and to provide scientific basis for the prevention and control.Methods Sixty-six villages were randomly sampled for the study from 7 counties(Jiyang,Boxing,Gaoqing,Guangrao,Wucheng,Xiajin and Ningjin)in the north area of Shandong province.The concentration of environmental fluoride and the prevalence of endemic fluorosis were investigated with the National Technical Guidelines for Endemic Disease Control.Resu...