河南省大骨节病病区16岁以上人群重点调查

目的掌握16岁以上人群大骨节病流行趋势和患者现况，为今后开展防治与研究提供依据。方法采用重点调查的方法，对历史病情较重的2个病村16岁及以上居民大骨节病病情进行普查；对部分患者拍摄右手、肘部X线片；调查30户当地居民的膳食、饮水、住宅、粮食储存方式等情况。结果临床检查822人，检出Ⅰ度及以上患者145人，检出率17．64％；拍摄手、肘部X线片42人，干骺阳性5人，占11．90％，骨端阳性24人，占57．14％，肘关节狭窄15人，占35．71％；除蔬菜、豆腐、动物蛋白与非病区比较差异无显著意义外，主食、饮水、储粮、居住环境与非病区比较差异有显著意义。结论低年龄组(20岁以下)无患者，患者多为30岁以上年龄组，病情随年龄增高而加重。

Pivot investigation on population over 16 years old of Henan provincial KBD region

Objective To grasp the tendency and situation of Kaschin Beck disease(KBD),and provide basic materials for further study and control.Methods Taking pivot investigation, study the state of KBD in 2 traditional KBD villages on population over 16 years old; take X ray of right hands and elbows on some of these patients; detect foods, drinking water, dwelling house, and ways of food reserving.Results One hundred and forty five KBD patients being detected from 822 subjects, detectable rate is 17.64%; take X ray on hands and elbows of 42 subjects, 5 (11.90%) subjects metaphysis positive, 24 (57.14%) epiphysis positive, and 15 (35.71%) elbow joint stricture positive; compare with non KBD regions, main foods, drinking water, ways of food reserving and dwelling house with significant difference (P0.05) except vegetables, bean curd and animal protein (P>0.05).Conclusions There are no patient under 20 years old and most of KBD patients are over 30 years old, by the age increase the state of KBD become heavier.