2007-2009年山东省梁山县和博兴县地方性氟中毒病情监测结果分析  

Comparison of body fluorine levels in Liangshan and Boxing counties of Shandong province from 2007Comparison of body fluorine levels in Liangshan and Boxing counties of Shandong province from 2007 to2009

作　　者：高杰[1] 云中杰[1] 陈培忠[1] 边建朝[1] 王玉涛[1] 李亨祥[1] 高红旭[1] 马爱华[1] 

机构地区：[1]山东省地方病防治研究所地氟病科,济南250014

出　　处：《中国地方病学杂志》2012年第2期199-201,共3页Chinese Jouranl of Endemiology

基　　金：中央补助地方公共卫生专项资金地方病防治项目（2006-2008）

摘　　要：目的了解山东省梁山县和博兴县地方性氟中毒（简称地氟病）病情，为制订地氟病防治措施提供依据。方法2007-2009年，在山东省梁山县、博兴县各抽取100处改水设施，调查使用情况及检测水氟；抽取10户居民，测定家中饮用水含氟量；检查全部监测点（每县3个村）8～12岁在校儿童的牙齿，计算氟斑牙检出率、氟斑牙指数。同时进行尿氟检测。结果2007-2009年，梁山县儿童尿氟中位数分别为2．35、3．73、1．29mg／L，儿童氟斑牙检出率分别为72．73％（88／121）、78．08％（57／73）、70．64％（77／109），氟斑牙指数分别为1．43、1．76、1．34。博兴县尿氟中位数分别为4．50、6．71、5．64mg／L，儿童氟斑牙检出率分别为95．93％（118／123）、99．06％（105／106）、94．41％（152／161），氟斑牙指数分别为2．23、2．54、2．09。结论山东省梁山县的地氟病防治情况好于博兴县，改水降氟是控制饮水型地氟病的重要措施，在地氟病病区应进一步加大改水降氟工作力度。Objective To find out the condition of endemic fluom8is in Liangshan and Boxing counties of Shandong province, and to provide the basis for future prevention and treatment of the disease. Methods In 2007 - 2009, 100 water facilities per year were selected in each county and the water fluoride was tested in Liangshan and Boxing counties of Shandong province. Ten households were selected and their water fluoride content was measured. Dental fluorosis prevalence and dental fluorosis index of school children aged 8 - 12 were checked in all monitored places（3 villages in each county）. Meanwhile, urinary fluoride was detected in children carried dental fluorosis test. Results In 2007 - 2009, the median of urinary fluoride in Liangshan county was 2.35, 3.73 and 1.29 mg/L, respectively; dental fluorosis detection rate was 72.73%（88/121）, 78.08% （57/73）, and 70.64%（77/109）, and the dental fluorosis index was 1.43,1.76 and 1.34. While in Boxing county, the median of urinary fluoride was 4.50, 6.71 and 5.64 mg/L; dental fluorosis detection rate was 95.93% （118/123）, 99.06% （105/106）, 94.41% （152/161） and dental fluomsis index was 2.23, 2.54 and 2.09, respectively. Conclusions The effect of prevention and control of endemic fluorosis in Liangshan county was better than that of Boxing county of Shandong province. Altering water source is an important measure to control endemic fluorosis. More defluoridation project should be carried out in endemic fluorosis areas.

关 键 词：地方病 氟中毒 牙 数据收集 

分 类 号：R599[医药卫生—内科学]