2009年青海省黄原县地方性氟中毒监测结果分析

Q3 Medicine

中华地方病学杂志 Pub Date : 2011-05-20 DOI:10.3760/CMA.J.ISSN.1000-4955.2011.03.018

C. Ping, Wei Sheng-ying, Ding Ping, Lu Qing, H. Duo-long, Wa Haikun, Pu Guang-lan, Tan Dai-feng, Zheng Jian-zhong

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Dental fluorosis of all children aged 8 to 12 of monitoring villages was examined, and urine samples were collected by age group of children for determination of urinary fluoride. Clinical skeletal fluorosis of adults over 16 years of age was examined, and 20 copies of adults urine samples were collected to determine urinary fluoride. One village was selected in the 3 villages monitored to conduct X-rays examination of skeletal fluorosis. Water fluoride was tested in accordance with the \"Non-metallic Targets Test Methods for Drinking Water\" (GB/T 5750.6-2006); urinary fluoride was tested by fluoride ion-selective electrode method (WS/T 89-1996); dental fluorosis was diagnosed using Dean method;adult skeletal fluorosis was diagnosed by \"Clinical Diagnostic Criteria for Endemic Skeletal Fluorosis\"(WS 192-2008). Results Twelve water samples were assayed, water fluoride was (0.35 ± 0.43) mg/L. 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引用次数: 0

摘要

目的了解青海省黄源县地方性氟中毒饮用水类型的流行变化及防治措施实施的效果。方法2009年，将黄原县所有地方性氟中毒村按实施改水工程前水体氟中毒含量分为轻度和中度2级，每级村分别选取1 ~ 2个村作为监测点，共选取3个村。从每个村庄采集水源水和自来水样本，测定水中氟化物浓度。对监测村所有8 ~ 12岁儿童氟牙症进行检查，并按儿童年龄组收集尿样，测定尿氟含量。对16岁以上成人临床氟骨症进行了检查，并收集了20份成人尿液样本以测定尿氟化物。在监测的3个村中选择1个村进行氟骨症x线检查。按照《饮用水非金属指标试验方法》(GB/T 5750.6-2006)对水中氟化物进行检测;用氟离子选择电极法检测尿氟化物(WS/T 89-1996);氟牙症诊断采用迪恩法;成人氟骨症诊断采用《地方性氟骨症临床诊断标准》(WS 192-2008)。结果12份水样的氟化物含量为(0.35±0.43)mg/L;122例8 ~ 12岁儿童氟斑牙检出率为34.43%(42/122)，96例儿童尿氟几何平均值为0.89 mg/L。在834例16岁及以上成人中，65例成人尿样中氟骨症临床检出率为47.72%(398/836)，尿氟几何平均值为1.10 mg/L, 35例岗沟村成人x线检出率为31.4%(11/35)。结论黄源县3个调查村的水氟含量正常，但地方性氟中毒仍较为严重。应加强监测，分析原因，改进预防措施。关键词:氟中毒;饮酒;数据收集;疗效

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Endemic fluorosis in Huangyuan county Qinghai province in 2009: an analysis of surveillance results

Objective To investigate the prevalence change of drinking water type of endemic fluorosis and the effect of control measures implemented in Huangyuan county of Qinghai province. Methods In 2009, all the endemic fluorosis villages in Huangyuan county were divided into two degrees, light and medium, according to the water fluorosis content before implementing the improving water project, 1 to 2 villages were selected from each degree village, respectively,as monitoring sites, and a total of 3 villages were selected. Source water and tap water samples were collected from each village and water fluoride concentration was determined. Dental fluorosis of all children aged 8 to 12 of monitoring villages was examined, and urine samples were collected by age group of children for determination of urinary fluoride. Clinical skeletal fluorosis of adults over 16 years of age was examined, and 20 copies of adults urine samples were collected to determine urinary fluoride. One village was selected in the 3 villages monitored to conduct X-rays examination of skeletal fluorosis. Water fluoride was tested in accordance with the "Non-metallic Targets Test Methods for Drinking Water" (GB/T 5750.6-2006); urinary fluoride was tested by fluoride ion-selective electrode method (WS/T 89-1996); dental fluorosis was diagnosed using Dean method;adult skeletal fluorosis was diagnosed by "Clinical Diagnostic Criteria for Endemic Skeletal Fluorosis"(WS 192-2008). Results Twelve water samples were assayed, water fluoride was (0.35 ± 0.43) mg/L. The detectable rate of dental fluorosis of 122 children aged 8-12 was 34.43%(42/122) and the geometric mean urinary fluoride was 0.89 mg/L of the 96 children. Of the 834 adults aged 16 and over, clinical detection of skeletal fluorosis was 47.72% (398/836) and geometric mean urinary fluoride was 1.10 mg/L of the 65 cases of adult urine samples assayed, detection rate of X-rays was 31.4% (11/35) in Gangou village of the 35 adults examined.Conclusions In Huangyuan county, water fluoride of the 3 surveyed villages are normal but the endemic fluorosis is still serious. It should strengthen monitoring and analyze the causes and improve prevention measures. Key words: Fluorosis; Drinking; Data collection; Osteofluorosis

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来源期刊

中华地方病学杂志我国对人类健康危害特别严重的地方性疾病：克山病、大骨节病、碘缺乏病、地方性氟中毒、地方性砷中毒、鼠疫、布鲁氏菌病、寄生虫、新冠肺炎等疾病，同时还报道多发性自然疫源性疾病。

CiteScore

1.60

自引率

0.00%

发文量

8714

期刊介绍： The Chinese Journal of Endemiology covers predominantly endemic diseases threatening health of the people in the areas affected by the diseases including Keshan disease, Kaschin-Beck Disease, iodine deficiency disorders, endemic fluorosis, endemic arsenism, plague, epidemic hemorrhagic fever, brucellosis, parasite diseases and the diseases related to local natural and socioeconomic conditions; and reports researches in the basic science, etiology, epidemiology, clinical practice, control as well as multidisciplinary studies on the diseases.