1996 - 2010年山东省大骨节病监测结果分析

Q3 Medicine

中华地方病学杂志 Pub Date : 2011-09-20 DOI:10.3760/CMA.J.ISSN.1000-4955.2011.05.016

Zhong-jie Yun, Pei-zhong Chen, Yu-tao Wang, Jie Gao, Jicuang Hao, Heng-xiang Li, Enyu Pan, Wei-guo Li, Jie Liu

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引用次数: 0

摘要

目的了解山东省大骨节病的发病现状，为防治大骨节病的决策提供科学依据。方法按《国家大骨节病监测方案》要求，每年选取山东省青州市大骨节病历史严重村;选取7 ~ 16岁儿童进行临床检查，7 ~ 12岁儿童进行x线检查。临床及x线诊断参照《大骨节病诊断标准》(GB 16003-1995)。结果1996 - 2010年，53个患病村临床诊断7 ~ 16岁学龄儿童33318例，未检出程度Ⅰ及以上的儿童大骨节病;7 ~ 12岁学龄儿童x线检查391例，阳性40例，总阳性率为1.29%(40/3091)。检出率最高的年份是2002年，检出率为3.49%(13/372);1996年和2008年的阳性率为0。各年度x线阳性率比较差异有统计学意义(x2 =31.54, P < 0.01)。结论青州市儿童大骨节病已基本得到控制。由于大骨节病的病因尚不清楚，对该病的监测仍需加强。关键词:大骨节病;监控;数据收集;结果评估

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Analysis of monitoring results of Kaschin-Beck disease in Shandong province from 1996 to 2010

Objective To investigate the current status of Kaschin-Beck disease in Shandong province, and to provide a scientific basis for decision-making in controlling the disease. Methods According to the "National Monitoring Program of Kaschin-Beck disease" requirements, historical serious villages of Kaschin-Beck disease in Qingzhou of Shandong province were selected annually; children aged 7 to 16 were chosen to receive clinical examination and children aged 7 to 12 were taken X-ray examination. Clinical and X-ray diagnosis was carried out according to the "Diagnostic Criteria of Kashin Beck Disease"(GB 16003-1995). Results From 1996 to 2010, in 53 diseased villages, three thousand three hundred and eighteen school children aged 7 to 16 were clinically diagnosed, and child Kaschin-Beck disease of degree Ⅰ and above were not detected; three thousand and ninety-one school children aged 7 to 12 were examined by X-ray, forty cases were found positive, and the total positive rate was 1.29％(40/3091 ). The year with the highest positive rate was 2002, and the rate was 3.49％(13/372) ; the positive rate was 0 in 1996 and 2008. The difference of the X-ray positive rate between each year was statistically significant(x2 =31.54, P ＜ 0.01 ). Conclusions Child Kashin-Beck disease in Qingzhou is basically under control.Since etiology of Kashin-Beck disease is still unclear, surveillance of the disease still needs to be strengthened. Key words: Kaschin-Beck disease; Monitoring; Data collection; Outcome assessment

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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.