2004年和2005年河北省三河市地方性氟中毒监测结果报告  

Endemic fluorosis in Sanhe City of Hebei Province in 2004 and 2005： an analysis of the outcome

作　　者：马景[1] 吕胜敏[1] 章和平[1] 杜永贵[1] 姚光俊[1] 张克杰[2] 李阳[2] 赵国俊 

机构地区：[1]河北省疾病预防控制中心地方病防治所碘缺乏病科,石家庄050021 [2]河北省廊坊市卫生防疫站 [3]河北省三河市卫生防疫站

出　　处：《中国地方病学杂志》2007年第2期168-169,共2页Chinese Jouranl of Endemiology

摘　　要：目的了解河北省三河市地方性氟中毒（简称地氟病）防治效果及降氟设施使用情况。方法按《全国地方性氟中毒重点监测方案》对三河市100个改水工程的使用情况进行调查；对三河市燕郊镇赵辛庄村和皇庄镇皇庄村进行地氟病病情监测，儿童氟斑牙检查用Dean法，水氟、尿氟测定采用氟离子选择电极法。结果三河市100个集中式改水设施，饮水含氟量在1．0mg／L以下的仅有54个，占54％。2004、2005年燕郊镇赵辛庄村水氟均值分别为0．53、0．45mg／L，8～12岁儿童氟斑牙检出率分别为19．5％、21．7％，儿童尿氟分别为1．51、1．15mg／L；皇庄镇皇庄村水氟均值分别为0．57、0．68mg／L，8～12岁儿童氟斑牙检出率分别为26．7％、24．5％，儿童尿氟分别为1．41、1．38mg／L。结论三河市2个地氟病病区村的饮水含氟量均符合国家标准．8～12岁儿童氟斑牙检出率等主要监测指标已降至非病区水平，监测点氟中毒病情得到有效控制。Objective To investigate and the outcome of national endemic fluorosis surveillance in Sanhe County in order to guide the prevention of endemic fluoroais in Hebei Province. Methods The surveillance was carried out by using the ruling method and criterion of The National Surveillance Scheme of Endemic Fluorosis. The running status of 100 water defluoriding projects was investigated. The dental fluorosis of 8 - 12 years old children was examined with Deans index, the fluoride contents in urine and drinking water were determined with fluoride selective ion electrode method. Results Out of 100 projects examined, only 54 had fluoride content lower than 1.0 mg/L, accounting for 54%. In 2004 and 2005, the average fluoride content in drinking water was 0.53, 0.45 mg/L of Zhaoxinzhuang, a village of Yanjiao Town, and 0.57, 0.68 mg/L in Huangzhuang, a village of Huangzhuang Town, respectively; the detectable rate of children＇s dental fluorosis in Zhaoxinzhuang in 2004 and 2005 was 19.5%, 21.7%, 6.7% and 24.5% in Huangzhuang respectively; In 2004 and 2005, the urinary fluoride content of 8 - 12 years old children was 1.51, 1.15 mg/L in Zhaoxinzhuang and was 1.41,1.38 mg/L in Huangzhuang respeetiveiy. Conclusions The fluoride contents in the two villages of Sanhe City have met the national standard, with water fluoride content and the rate of dental fluorosis of children being similar to that of non-disease in Sanhe. The prevalence of endemic fluorosis has been controlled in Zhaoxinzhuang and Huangzhuang.

关 键 词：饮水 氟化物中毒 流行病学 结果评价 

分 类 号：R686[医药卫生—骨科学]