陕西省大骨节病国家监测点19年监测结果分析

目的通过定点连续监测，掌握大骨节病的流行特征，为大骨节病防治提供依据。方法按照全国大骨节病监测方案要求，对监测点7～12岁儿童100名进行临床检查及X线拍片，并进行发硒含量测定。结果麟游、临潼7～12岁儿童临床Ⅰ度以上检出率由1990年8．57％、22．86％至1998、1994年分别降为0，榆阳区7～12岁儿童I度以上检出率由2000年0．87％至2001年降为0；麟游、临潼7～12岁儿童X线检出率由1990年44．76％、54．29％至1999年分别降为11．27％、6．67％，榆阳区7～12岁儿童X线检出率由2000年34．96％降至2008年的1．82％；麟游、临潼、榆阳区儿童发硒分别由0．0932μg/g、0．1667μg/g、0．1178μg/g上升到0．2911μg/g、0．2464μg/g、0．3700μg/g。结论儿童大骨节病病情呈稳定下降态势，达到国家大骨节病控制区标准。食用合格硒盐及非病区粮食，群众经济收入增加，生活、卫生水平提高是病情下降的主要原因。

Analysis on monitoring data of Kaschin-Beck disease in Shannxi Province during 19 years

Objective We had mastered the epidemiological characteristics of Kaschin-Beck disease through continuous fixed-point monitoring,this will provide a basis for prevention and treatment.Methods According to national monitoring standard,100 children between the ages of 7 and 12 years old did clinical examination,took X-rays and measured the content of hair selenium.Results Detection rate above I degree in clinic decreased from 8.57% to 0 in 1990 to1998 in Linyou,it decreased from 22.86% to 0 in 1990 to 1994 in ...