1991-2012年中国地方性氟中毒病情动态变化  

The State and Trend of Endemic Fluorosis from 1991 to 2012 in China

作　　者：刘永林[1,2] 马培[3] 雒昆利[2] 李玲[2] 

机构地区：[1]重庆师范大学地理与旅游学院,重庆401331 [2]中国科学院地理科学与资源研究所,北京100101 [3]河南工程学院资源与环境学院,郑州451191

出　　处：《重庆师范大学学报（自然科学版）》2016年第2期142-151,共10页Journal of Chongqing Normal University:Natural Science

基　　金：国家青年自然科学基金(No.41502329);国家重点基础研究发展计划(973计划)(No.2014CB238906);重庆市社会科学规划博士项目(No.2014BS094)

摘　　要：为了明确1991-2012年中国地氟病病情动态变化,对公开发表的文献中1991-2000年全国地氟病病情数据和中国卫生统计年鉴中2002-2012年全国各省份地氟病病情数据进行研究。研究结果为:1)1991-2012年中国饮水型氟中毒患病率有所下降(氟斑牙患病率下降11.9%,氟骨症患病率下降0.26%);燃煤型氟斑牙患病率亦有下降(下降16.5%),但燃煤型氟骨症患病率却有明显增加(增加9.49%)。2)饮水型氟中毒控制最好地区是西北地区(氟斑牙患病率下降8.49%,氟骨症患病率下降0.1%),东北地区饮水型氟中毒患病率改善不显著。3)西部地区燃煤型氟中毒患病人数占全国80%以上,但西部地区的贵州和云南燃煤型氟中毒患病率有增加趋势(氟斑牙患病率分别增加5.71%和8.56%,氟骨症患病率分别增加3.54%和5.67%)。研究结果表明:总体上地氟病病情得到一定控制,但东北的饮水型地氟病和贵州、云南的燃煤型地氟病病情依然严重。To clear the state and trend of endemic fluorosis from 1991 to 2012 in China, endemic fluorosis data in China from 1991 to 2000 and every province from 2002 to 2012 which were from public paper and from China public health statistical yearbook was ana- lyzed. The results showed that： 1） The prevalence rate of drinking water fluorosis from 1991 to 2012 in China was decreased some- what （decreased by 11.9 % of dental fluorosis; decreased by 0.26 % of skeletal fluorosis） The prevalence rate of coal-burning dental fluorosis was decreased by 16.5%, but the prevalence rate of coal-burning skeletal fluorosis was increased by 9.49%. 2） The con- trol results of drinking water fluorosis of northwestern China were better （decreased by 8.49 % of dental fluorosis~ decreased by 0. 1 % of skeletal fluorosis）. But the prevalence rate of coal-burning dental and skeletal fluorosis from 2002 to 2012 was increased by 4. 22% and 0.17%, respectively. 3） The number of patients with coal-burning fluorosis occupies more than 80% of whole country. The prevalence rate of coal-burning fluorosis from Guizhou province and Yunnan province was increased （decreased by 5.71% and 8.56% of dental fluorosis; decreased by 3.54% and 5.67% of skeletal fluorosis）. The research indicates that： As a whole, the state of fluorosis in China has some extent of control, but some regions were still serious, especially drinking water fluorosis of northeast China and coal-burning fluorosis from Guizhou Province and Yunnan Province.

关 键 词：地方性氟中毒 东北地区 云南 贵州 病情动态 

分 类 号：X831[环境科学与工程—环境工程]