大连市饮水型氟中毒病区控制效果评价调查研究  

Investigation and evaluation of control effects on drinking water type fluorosis in Dalian City

作　　者：毛丽翠[1] 张斌[1] 华近[1] 宋阿娟 姜宗海 王云平 MAO Licui;ZHANG Bin;HUA Jin;SONG Ajuan;JIANG Zonghai;WANG Yunping(Dalian Center for Disease Control and Prevention,Liaoning 116021,China;不详)

机构地区：[1]大连市疾病预防控制中心,辽宁116021 [2]瓦房店疾病预防控制中心 [3]普兰店疾病预防控制中心 [4]庄河市疾病预防控制中心

出　　处：《医学动物防制》2020年第8期804-806,809,共4页Journal of Medical Pest Control

摘　　要：目的掌握大连市饮水型氟中毒病区防治效果,为今后调整和制定饮水型氟中毒病区防治策略提供科学依据。方法2016年大连市调查全部饮水型氟中毒病区饮用水氟含量、儿童氟斑牙患病情况及成人氟骨症患病情况。水氟检测采用《生活饮用水标准检验方法无机非金属指标》(GB/T 5750.5-2006)。应用Excel 2007对调查数据进行整理和分析。结果大连市现有43个饮水型地方性氟中毒病区村,集中降氟改水病区25个,分散改水管理病区18个。集中改水病区水氟含量在0.10~0.71 mg/L之间,均值0.31 mg/L,均符合国家标准。分散改水病区水氟含量在0.10~6.55 mg/L之间,均值0.87 mg/L,水氟超标率为16.67%。调查8~12岁儿童516人,氟斑牙检出率2.52%。调查4078名成人,发现临床氟骨症19人,临床氟骨症检出率0.47%,10人拍摄了X光片,氟骨症患病率0.25%。结论大连市饮水型地方性氟中毒危害得到有效控制。Objective To investigate the control effects on drinking water type fluorosis in Dalian,and to provide a scientific basis for formulating and adjusting prevention measures of drinking water type fluorosis in the future.Methods The fluoride content of drinking water,the prevalence of children’s dental fluorosis and adult skeletal fluorosis were investigated in all areas of drinking water type fluorosis of Dalian City.The water fluoride content was detected according to the"Standard Test Method for Drinking water,inorganic non-metal indicators"(GB/T 5750.5-2006).Statistical data was analyzed with Excel 2007.Results There were currently 43 villages existing drinking water type fluorosis in Dalian City,including 25 centralized water-improving fluorosis areas and 18 distribute water-improving fluorosis areas.The water fluoride content in the centralized water-improving villages was between 0.10~0.71 mg/L,with mean value of 0.31 mg/L,which reached the national standards for control.The water fluoride content in the distributed water-improving villages was between 0.10~6.55 mg/L,with mean value of 0.87 mg/L.The exceed ratio of water fluoride content was 16.67%.Totally 516 children aged 8~12 were surveyed,and the detection rate of dental fluorosis was 2.52%.A total of 4078 adults were investigated,and 19 patients were found with clinical skeletal fluorosis,with the detection rate of clinical skeletal fluorosis of 0.47%.Ten of the patients with clinical skeletal fluorosis took X-rays,and the prevalence of skeletal fluorosis was 0.25%.Conclusion The hazards of drinking water type fluorosis have been controlled effectively in Dalian City.

关 键 词：大连市 地方病 饮水型 氟中毒 氟斑牙 氟骨症 

分 类 号：R599.9[医药卫生—内科学]