2014年贵州省遵义市燃煤污染型地方性氟中毒防治效果分析  

Analysis of the results in control of coal-burning-borne endemic fluorosis in Zunyi City, Guizhou Province in 2014

作　　者：谭红辉[1] 王世平[1] 李林英[1] 陈浩[1] 李泽琼[1] 

机构地区：[1]贵州省遵义市疾病预防控制中心地方病防治科,遵义563000

出　　处：《中华地方病学杂志》2017年第11期816-818,共3页Chinese Journal of Endemiology

摘　　要：目的分析贵州省遵义市历史燃煤污染型地方性氟中毒（简称地氟病）病区县儿童氟中毒病情及防治现状，为地氟病的可持续防治提供科学依据。方法2014年，对遵义市5个县（区）内所有病区村的8～12岁儿童进行氟斑牙检查，调查病区村所有居民户改良炉灶和炉灶使用情况，供人食用的玉米和辣椒正确干燥情况。氟斑牙诊断依据《氟斑牙诊断}（WS／T208．2011）执行。结果在遵义市5个病区县（区）共检查115840名8～12岁儿童氟斑牙，氟斑牙总检出率为5．85％（6773／115840）；调查444196户居民户，合格改炉改灶率为99．53％（442108／444196），合格炉灶正确使用率为99．34％（441256／444196）；食用辣椒、玉米正确干燥率达到99．26％（440903／444196）。结论遵义市地氟病历史病区防治效果明显，应继续加强健康干预和后期管理。巩固消除地氟病成果。Objective To analyze the status and control effects on coal-burning-borne endemic fluorosis in Zunyi City, Guizhou Province, and to provide a scientific basis for sustainable prevention and control of endemic fluorosis. Methods All diseased villages of 5 counties of Zunyi City in 2014, survey results of the dental fluorosis of children aged 8 - 12, the use of improved stoves and stoves for all residents of the diseased villages, the proper drying conditions for corn and peppers, were analyzed. The diagnosis was based on ＂the Diagnosis of Dental Fluorosis＂ （WS/T 208-2011）. Results Dental fluorosis of 115 840 children were examined, the prevalence rate of dental fluorosis was 5.85% （6 773/115 840） in 5 diseased districts. A total of 444 196 households in Zunyi City were investigated, the qualified rate of improved stoves and the correct-usage rate of qualified stoves were 99.53% （442 108/444 196） and 99.34% （441 256/444 196）, respectively; the proper drying conditions of corn and peppers was 99.26% （440 903/444 196）. Conclusions The control efficiency for coal-burning-borne fluorosis in Zunyi City is obvious. We will continue to strengthen the health intervention and post-management efforts to consolidate the results of elimination of fluorosis.

关 键 词：氟化物 煤 效果评价 

分 类 号：R599.1[医药卫生—内科学]