国家监测点兴海、贵德1999～2003年大骨节病情动态观察

目的 掌握大骨节病病情动态，为大骨节病陵治研究提供基础资料。方法 每年3～4月份按全国大骨节病监测方案的要求，对监测点7～12岁儿童进行流行病学、临床及右手X线拍片检查。结果 5年兴海临床检出率为7．74％，X线检出率为39．54％；贵德临床检出率为3．07％，X线检出率为24．36％，其中2001年病情下降，后病情上升，有一定年度波动。结论 兴海、贵德监测点大骨节病致病因子作用强烈，病情严重，有新发加重趋势。

Observation of KBD prevalence state in two national monitoring points from 1999 to 2003

Objective To understand KBD prevalence state,provide academic data for KBD prevention and treatment.Methods According to requirement of KBD monitory standard of government,we conduct epidemiologic investigation,clinical examination and X-ray diagnosis on schoolchildren aged 7 to 12 years every year in 3 to 4 month each year.Results After 5 years monitor,in Xinghai region,the incidence rate of clinical examination was 7.74%,the X-ray detectable rate was 39.54%;In Guide region,the incidence rate of clinical examination was 3.07%,the X-ray detectable rate was 24.36%.The KBD prevalence state declined in 2001,then it went up.In some degree,the prevalence rate has the tendency of fluctuation yearly.Conclusions The factor that caused KBD was vigorous in these two monitoring points.The KBD prevalence state is active,and has the tendency of new cases and aggravation.