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作 者:陈志辉[1,2] 林兆和[1,2] 林本翔[1,2] 林心星[1,2]
机构地区:[1]福建省疾病预防控制中心 [2]福建医科大学预防医学专业教学基地,福州350001
出 处:《中国地方病防治》2010年第2期135-137,共3页Chinese Journal of Control of Endemic Diseases
基 金:2007年度中央支持地方公共卫生项目地方病防治项目
摘 要:目的了解福建省地方性氟中毒轻、中病区现状。方法按照分层整群抽样的原则,抽取轻病区村6个,中病区村4个作为调查点,每个调查点测定饮用水氟、8~12岁儿童氟斑牙和尿氟、对16岁及以上成人进行临床氟骨症检查和X线检查。结果10个病区村饮水氟均值均低于1.0 mg/L,9个村儿童氟斑牙低于30%,10个病区村儿童尿氟几何均数均未超过1.4 mg/L。临床氟骨症检出率4.42%,X线氟骨症检出率19.82%。结论饮水型氟中毒实施改水措施效果显著,临床与X线氟骨症诊断标准的衔接还有待于进一步探讨。Objective To investigate the prevailing status of endemic fluorosis in mild and moderate endemic area.Methods Based on stratified cluster sampling,we selected survey spot including 6 mild endemic area and 4 moderate endemic area,determined fluoride levels of drinking water,dental fluorosis and urinary fluorine in child aged 8 to 12 and examined the skeletal fluorosis and X-ray in adult aged more than 16.Results Averaged fluoride levels of drinking water were lower than 1.0mg/L in 10 survey spots.The prevalence of children dental fluorosis was lower than 30% in 9 survey spots,the geometry mean of children urinary fluorine was lower than 1.4mg/L in 10 survey spots.The prevalence rate of clinical skeletal fluoride is 4.42%,the prevalence rate of X-ray skeletal fluoride is 19.82%.Conclusions The result of water-improving measure in endemic fluorosis of drinking water type is remarkable,the relationship between clinical and X-ray diagnose criterion of skeletal fluoride should be further studied.
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