西安市2001～2008年大骨节病和硒盐监测结果分析  

ANALYSIS ON MONITORING RESULTS OF KASCHIN-BECK DISEASE IN LANTIAN COUNTY OF XI'AN CITY FROM 2001 TO 2008

作　　者：谢龙[1] 陈伟[1] 靳玲[1] 杨钢[1] 姚培杰[1] 

机构地区：[1]西安市疾病预防控制中心地方病防治科,西安710054

出　　处：《现代预防医学》2011年第12期2382-2383,2385,共3页Modern Preventive Medicine

摘　　要：[目的]监测西安市大骨节病病区大骨节病（KBD）消长趋势和硒盐食用情况,掌握大骨节病病情现状,为制定防治决策提供科学依据。[方法]按照监测方案选择病区7~12岁儿童进行临床和X线检查;随机采病区居民用户盐样,检测盐硒含量。[结果]临床共监测儿童3955人,检出大骨节病早期及I度以上大骨节病患者各222例和17例,临床检出率分别为5.61和0.43。X线共拍片2248人,检出阳性38例,检出率1.69。居民用户硒盐合格率从2001年的52.5上升到2008年的96.8。[结论]西安市大骨节病病情呈下降趋势,硒盐供应情况良好。应该进一步加大监测力度,建立防治大骨节病的长效机制。[Objective]To analyze the surveillance data of KBD and the consumption of selenium salt in Xi＇an from 2001 to 2008,and provide scientific basis for making control decision.[Methods]Children aged 7 to 12 were collected as samples according to monitoring project,were given clinical and X-ray examination.Household edible salts were sampled randomly for examining the concentration of selenium.[Results]3 955 children were examined by clinical and 222 early and I degree cases of KBD were confirmed,the detectable rate was 5.61% and 0.43%;2 248 children were examined by X-ray and 38 children were confirmed,the detectable rate was 1.69%.The qualified rate of selenium salt increased from 52.5% to 96.8%.[Conclusion]The prevalence of KBD in Xi＇an has downward trend.The supplying of selenium was in good condition.Further surveillance should be carried out in endemic areas.A long-acting mechanism should be established for preventing and controlling Kaschin-Beck disease.

关 键 词：大骨节病 病情 监测 

分 类 号：R684.1[医药卫生—骨科学]