燃煤污染型氟中毒特重病区病情调查分析  

Analysis illness in Severe area of coal-burning pollution fluorosis

作　　者：何平[1] 安冬[1] 李达圣[1] 梁音[1] 靳争京[1] 

机构地区：[1]贵州省疾病预防控制中心,贵阳550004

出　　处：《贵州医药》2007年第12期1066-1069,共4页Guizhou Medical Journal

基　　金：贵州省优秀教育人才省长专项基金项目(2005-380);贵州省科技计划课题(2006-6013);贵州省卫生厅科研计划及优秀医学青年人才基金计划课题

摘　　要：目的了解我省地氟病特重病区的病情流行及变化状况,研究特重病区村形成的相关流行因素。方法按照GB16396-1996、WS192-1999和Dean氏分级标准,在调查村对3岁以上人群分别进行氟骨症和氟斑牙检查;在两个调查采集8岁以上人群一次性尿样检测尿氟含量;文献查询特重病区村历史病情资料。结果荷花、联合2个特重病区村8～12岁儿童氟斑牙检出率和缺损型检出率分别为94.3%、82.7%、58.1%和63.7%,均显著高于对照村。两个特重病区村中度以上氟骨症临床症状体征阳性检出率为72.6%和69.7%,氟骨症X线阳性确诊率为79.3%和80%,均显著高于对照村,特重病区村和对照村16岁以下人群未检出氟骨症阳性患者。荷花和联合村人群尿氟几何均数分别为3.2mg/L和2.3mg/L,较上世纪70-80年代显著降低。结论横向比较,现阶段两个特重病区村的氟中毒病情较对照村重,与自身历史资料纵向比较,两个特重病区村的氟中毒流行现况较上世纪70-80年代明显减轻。Objeelive To understand state change and study prevalence factors in severe fluorosis villages. Methods 2 villages were surveyed according to the classification standard of GB16396-1996, WS192- 1999 and Dean on skeletal fluorosis and dental fluorosis with all aged up to 3, in which urinary fluorosis were tested in all aged up to 8 and the historical documents about fluorosis situation was consulted in 2 villages. Results The rate of dental fluorosis were 94. 3% and 82. 7%, the rate of dental damage were 58. 1% and 63. 7% in 2 villages The symptom opositive rate of skeletal fluorosis were 72. 6% and 69. 7% with 79. 3% and 80% confirm rate by X_ray. Non-skeletal fluorosis in aged lower than 16. The geometry average of urinary fluorosis were 3. 2mg/1 and 2. 3rag/1 in 2 villages which was much lower than 70＇s-80＇s years. Conclmion The prevalence situation of fluorosis was much better in 2 villages.

关 键 词：地方性氟中毒 氟骨症 氟斑牙 

分 类 号：R135.1[医药卫生—劳动卫生] R181.39[医药卫生—公共卫生与预防医学]