2013年江苏省饮水型地方性氟中毒调查  

Investigation on drinking water-borne endemic fluorosis in Jiangsu, 2013

作　　者：汪旸[1] 王彩生[1] 夏玉婷[1] 王培桦[1] 

机构地区：[1]江苏省疾病预防控制中心环境疾病(地方病)防制所,江苏南京210009

出　　处：《环境与健康杂志》2014年第6期516-518,共3页Journal of Environment and Health

基　　金：中央补助地方公共卫生专项资金地方病防治项目(2013);江苏省血地寄防科研基金(X201119;X201120);江苏省疾控中心重点人才基金(JKRC2011016)

摘　　要：目的了解江苏省地方性氟中毒的病情现状。方法于2013年,在该省17个监测县随机抽取51个村,开展生活饮用水氟含量检测和8~12岁儿童氟斑牙检查。在沭阳县和射阳县的6个监测村开展成人氟骨症X线检查和尿氟含量检测。结果改水且水氟含量合格村、改水但水氟含量超标村或非正常运转村、未改水村的儿童氟斑牙患病率分别为27.94%,58.39%,35.15%（P〈0.01）。改水且水氟含量合格村、改水但水氟含量超标村的成人X线诊断氟骨症检出率分别为14.07%,20.97%,差异无统计学意义（P〉0.05）。改水且水氟含量合格村成人尿氟水平低于改水但水氟含量超标村,差异有统计学意义（P〈0.01）。结论改水能够有效减少儿童氟斑牙的发生,降低成人尿氟含量。由于改水时间较短,尚未观察到成人氟骨症发病率的降低。Objective To investigate the current status of endemic fluorosis via drinking water in Jiangsu. Methods A total of 51 villages in 17 counties were randomly selected in 2013. The content of fluoride in drinking water was determined. Dental fluorosis of children aged 8-12 was examined. In Shuyang country and Sheyang country, skeletal fluorosis of adults was diagnosed by radiography and the content of fluoride in urine was determined. Results The prevalence rates of children＇s dental fluorosis among villages with water improvements and qualified water, the villages with water improvements and unqualified water and the villages without water improvements were 27.94%, 58.39% and 35.15% respectively, the difference was significant （P〈0.01）.

关 键 词：地方性氟中毒 氟斑牙 氟骨症 尿氟 

分 类 号：R181.3[医药卫生—流行病学]