2014年山西省饮水型地方性砷中毒监测结果分析  

Analysis of surveillance results of water-borne endemic arsenism in Shanxi Privince in 2014

作　　者：吴赵明[1,2] 裴秋玲[1] 李鹏飞[2] 王正辉[2] 荆玉兰[2] 武敏[2] 

机构地区：[1]山西医科大学公共卫生学院,山西太原030001 [2]山西省地方病防治研究所,山西临汾041000

出　　处：《基层医学论坛》2015年第25期3567-3568,共2页The Medical Forum

基　　金：中央补助地方公共卫生专项资金地方病防治项目(2014)

摘　　要：目的掌握饮水型地方性砷中毒病情变化和防治现状,为制订防治策略提供依据。方法按照国家《饮水型地方性砷中毒监测方案》和《2014年山西省饮水型地方性砷中毒监测方案》的要求,在全省选择5个病区县、14个病区村作为监测点,调查监测村的改水及改水工程运行情况、测定水砷含量,同时对监测村常住人口砷中毒病情进行调查,并测定尿砷含量。水砷、尿砷含量测定采用氢化物原子荧光光度法（GB/T5750.6-2006）,砷中毒诊断采用《地方性砷中毒诊断标准》（WS/T211-2001）。结果 14个监测村已全部改水,改水率100%,14个村监测了11个改水工程,全部正常运行,且水砷含量全部合格。砷中毒检出率为1.61%（123/7 621）,以轻度患者为主;尿砷含量共测定419人,尿砷浓度范围为0.000 1～0.444 mg/L,几何均值为0.009 9 mg/L。结论山西省饮水型地方性砷中毒病情已得到有效控制,病情监测、健康教育工作应是今后防治地方性砷中毒的关键。ObjectiveTo investigate the current situation of Drinking-water-borne endemic arsenism in Shanx Privince,and to provide a basis for development of control straegies.MethodsIn accordance with the requirements of the national ＆quot;Surveillance Scheme of Drinking-Water-Borne Endemic Arsenism＆quot;and ＆quot;Shanxi Provincial Surveillance Scheme of Drinking-Water-Borne Endemic Arsenism＆quot;,5 epidemic counties were chosen.Fourteen villages were chosen as monitoring villages.Investgate the water situation of the monitoring villages,arsenism content in drinking water and urinary was determined;The disease conditions of residents in the monitor villages were investigated.Arsenism content in drinking water and urinary was determined by Hydride atomic fluorescence spectrophotometry（GB/T5750.6-2006）, Arsenic poisoning diagnosis by ＆quot;Endemic Arsenism Diagnostic Criteria＆quot;（WS/T211-2001）.Results14 monitoring villages were all changed water,improvement of water rate is 100%,All normal operation,All qualified water arsenic content.Arsenic poisoning prevalence rate was 1.61%（123/7621）,Most of them were mild patients;Urine arsenic determination of 419 people,Urine arsenic concentration range 0.0001-0.444mg/L,The geometric mean for 0.0099mg/L. ConclusionsEndemic arsenic poisoning disease in Shanxi Province has been brought under effective control,To develop the disease surveillance、health education are key measure in control of endemic arsenics in the fulture.

关 键 词：砷中毒 饮水型 地方性 监测结果 分析 

分 类 号：R599[医药卫生—内科学]