2007年四川省大骨节病病情活跃程度及相关影响因素调查  

SURVEY OF KASCHIN-BECK DISEASE ACTIVITY AND RELATED INFLUENCE FACTORS IN SICHUAN PROVINCE IN 2007

作　　者：李富忠[1] 邓佳云[1] 黄慧[1] 陈开华[2] 周定友[1] 张林[1] 赵咏梅[1] 

机构地区：[1]四川省疾病预防控制中心,成都610041 [2]四川省阿坝州疾病预防控制中心

出　　处：《现代预防医学》2008年第20期4056-4058,4062,共4页Modern Preventive Medicine

基　　金：中央补助地方公共卫生专项资金地方病防治项目(2006)

摘　　要：[目的]了解四川省大骨节病病情活跃程度及其影响因素。[方法]在88个大骨节病病区村采用临床和X线拍片检查儿童大骨节病病情以评定病情活跃程度,用基础资料登记表调查主食、饮水、换粮等相关因素,采集儿童发样及当地主食粮样进行含硒量检测。[结果]儿童临床检出1例Ⅰ度患者;X线检出率平均为4.08%(0～15.00%),活跃病区村占11.36%;以自产玉米或青稞为主食的病区村病情最为活跃。儿童发硒水平平均为(0.282±0.054)mg/kg,粮食硒水平平均为(0.0064±0.0027)mg/kg。[结论]四川省大部分地区儿童大骨节病病情处于控制或基本控制范围,在局部地区病情仍然活跃,其活跃程度与主食种类及来源有密切关系,换粮对控制病情效果显著。[Objective] To explore the activity and related influence factors of Kaschin-Beek disease （KBD） in Siehuan province. [Methods] In 88 KBD endemic villages, by clinical detection and X-ray for children to evaluate KBD activity, the main food, water, grain exchange were investigated by basic registration forms. The children＇s hair and main food samples were collected to test the level of selenium. [ Results] Only one patient diagnosed as [ degree was detected in children, The detectable rate of X-ray was 4.08% （0-15.00%） on average. The rate of active ward village was 11.36%. The KBD situation was the most serious in the villages where people take homegrown corn or barley as main foods. The selenium level was （0.282 ± 0,054） mg/kg and （0.0064 ± 0.0027） mg/kg in children＇s hair and food, respectively. [Conclusion] In most regions＇ KBD situation in children has been controlled or basically controlled, but in some regions the KBD situation is still active. The extent of active is closely related with the types of food and tood source, and the grain exchange is significant for control KBD.

关 键 词：大骨节病 流行病学 数据收集 

分 类 号：R684.1[医药卫生—骨科学]