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作 者:陈虹[1] 黄慧[1] 李富忠[1] 杨文[1] 李津蜀[1] 杨小静[1]
机构地区:[1]四川省疾病预防控制中心地方病防治所大骨节病科,成都610041
出 处:《中华地方病学杂志》2016年第11期838-841,共4页Chinese Journal of Endemiology
基 金:2013年省级财政补助重大疾病防治项目
摘 要:目的评估四川省简阳市等8个县(市)的足巴子病防治效果。方法2013—2014年,选择简阳市、安岳县、仁寿县、广汉市、大邑县、资中县、资阳市、内江市8个足巴子病病区县(市)19个病区乡60个病区村作为调查点。每个调查点首先进行自查:对病区的常住人口进行足巴子病临床检查,对有足巴子病临床表现者(登记在册的现患病例除外)进行相应负重关节(股骨头和髋关节)X线拍片,调查病区常住人口近5年内足巴子病发病情况、收集整理病区基本情况、足巴子病防治措施落实情况及历年足巴子病资料。经自查评估具备病区消除标准的县,再由省级卫生行政部门组织考核验收组开展考核验收。结果8个县(市)共调查了22513人,确诊足巴子病患者279人(均为现患病例),近5年无新发病例,8县(市)的组织管理考评得分均〉90分(达标分为80分)。省级考核验收组抽取8个县8个乡(镇)8个村的82户家庭开展病情和防治措施落实情况复核工作,共调查307人,确诊53人,近5年无新发病例,各县级考评管理指标综合考评得分均〉90分,复核结果与县级自查结果相符。结论四川省全省实现消除肥子病目标。Objective To assess the control effect on Pazi disease in Jianyang and other 7 counties (cities) of Sichuan Province. Methods A total of 60 villages in 19 endemic towns of 8 counties (cities), including Jianyang, Anyue, Renshou, Guanghan, Dayi, Zizhong, Ziyang and Neijiang were investigated from 2013 to 2014. Self- assessment was conducted at each investigation site. Physical examination was conducted for all residents. For people who displayed clinical manifestations of Pazi disease were subjected to X-ray examination of weight-beating joints. Incidence, basic information, implementation of control measures and historical information of Pazi disease of the past five years were collected in these areas. Counties (cities) that met the elimination criterion of Pazi disease by self-assessment were further assessed by provincial administrative health department. Results In the 8 counties (cities), totally 22 513 people were investigated, 279 were diagnosed Pazi disease (prevalent cases), no new patient was found within the past five years. Scores of all assessed areas were more than 90 points (the standard score was 80 points). Totally 82 families from 8 villages of 8 counties were randomly assessed by the provincial expert group for Pazi disease incidence and implementation of control measures; 307 people were investigated and 53 people were confirmed cases, and scores were all higher than 90 points. The review results of expert group were consistent with the results of self-examination by the assessed counties/towns. Conclusion Sichuan Province has reached the goal of Pazi disease elimination.
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