大骨节病防治工作不容忽视

目的探讨大骨节病防治研究的重要性。方法通过历史病情资料回顾并与大骨节病x线病情对比，浅析大骨节病防治效果。结果采取改水、换粮、加硒、投药和改善环境卫生等综合性防治措施，儿童大骨节病患病率明显下降到历史最低水平。呼伦贝尔市7个病区旗、市有3个市达标，但与国家控制病区标准还有一定距离。且青海省兴海县上、下鹿村2008年病情监测X线检出率和干骺端检出率分别为18．87％、35．29％和13．21％、26．47％，说明大骨节病防治工作依然严峻；而成人大骨节病现患年龄集中在40～50岁之间。结论大骨节病病因迄今未明，随着儿童大骨节病新发病例减少，突出地暴露出成人大骨节病病情的严重，提示大骨节病防治工作不容忽视。

On the urgency of Kashin-Beck Disease prevention

Objective To explore the significance of Kashin-Beck Disease prevention. Methods The prevention effect of Kashin-Beck Disease is analyzed by reviewing the historical cases and X-ray comparison of Kashin- Beck Disease. Results The comprehensive measures, such as water improvement, grain alteration, selenium supplement, medication and environmental improvement have reduced the incidence of Kashin-Beck Disease into the minimum in history. Three out of seven endemic regions or cities have reached the standard, but still lower than the national criteria. The X-ray and metaphysic testing rates of disease in Shanglu and Xialu Villages in Qinghai province are 18.87%, 35.29%, and 13.21%, 26.47% as well, which present the urgency of Kashin-Beck prevention. And Kashin-Beck Disease occurrence among adults ranges from 40 to 50 in ages. Conclusion The factors for Kashin-Beck Disease are still unclear. With the decreasing incidence of Kashin-Beck Disease among children, the severity is rather critical among adults, which indicates the urgency for the prevention of Kashin-Beck Disease.