2017-2018年度巴中市大骨节病病情调查  

Prevalence Rate of Kaschin-Beck Diseases in Bazhong City From 2017 to 2018

作　　者：文薇[1] 罗熙平 刘涛 王志伦[1] WEN Wei;LUO Xiping;LIU Tao;WANG Zhilun(Bazhong Center for Disease Control and Prevention,Bazhong 636000,Sichuan Province,China)

机构地区：[1]巴中市疾病预防控制中心,四川巴中636000

出　　处：《职业卫生与病伤》2020年第4期231-235,共5页Occupational Health and Damage

摘　　要：目的掌握巴中市大骨节病患者数量及病情程度,为大骨节病的科学防治提供数据依据。方法 2017-2018年在巴中市大骨节病病区村和有患者线索的非病区村开展13岁及以上户籍人群临床检查或病例复核,并对临床诊断为Ⅰ度及以上的13~16岁患者拍摄双手X线正位片,根据《大骨节病诊断》(WS/T207-2010)进行临床和X线诊断;调查病区村基本情况和综合措施实施情况。结果共诊断大骨节病患者266人,Ⅰ度、Ⅱ度和Ⅲ度患者分别占73.68%、24.06%和2.26%。12个病区村共诊断患者202人,患者检出率2.70%。22个非病区村共诊断患者64人,其中开展了13岁及以上户籍人群临床检查的20个非病区村共诊断患者60人,患者检出率0.76%;开展疑似患者临床检查复核的2个非病区村共诊断患者4人,复核诊断率17.39%。患者年龄48~88岁,60岁及以上患者(89.47%),接受长期药物治疗、手术治疗的患者分别(53.01%、0.00%)。病区村玉米和小麦种植占总耕地面积的51.98%、经济作物占31.21%、水稻占11.64%;主食大米占83.75%。结论巴中市大骨节病病情较轻,现存患者多为历史老患者,在继续落实各项预防措施的同时,需做好大骨节病现症患者的治疗、随访和管理等工作。Objective To understand the prevalence rate of Kaschin-Beck disease(KBD) in Bazhong city, and provide data basis for the scientific prevention and treatment. Methods From 2017 to2018,clinical examination of KBD was conducted among the registered people aged ≥13 years in the KBD epidemic villages and non-epidemic villages with suspected KBD patients reported.Clinically diagnosed patients aged 13-16 years were X-ray examined. The clinical and X-ray diagnosis was conducted according to the standards of Kaschin-Beck Disease Diagnosis(WS/T207-2010). The basic situation and the implementation of comprehensive measures of the epidemic villages were also investigated. Results There were a total of 266 patients of KBD diagnosed,and the proportion of degree Ⅰ, Ⅱ and Ⅲ KBD were 73.68%, 24.06% and 2.26%, respectively.Totally,202 patients were diagnosed in the 12 epidemic villages,and the patient detection rate was2.70%, whereas 64 patients were diagnosed in22 non-epidemic villages. Notably, 60 patientswere diagnosed in 20 non-epidemic villages with clinical examination conducted by residents aged ≥13 years, with a detection rate of 0.76%, while four patients were diagnosed in two nonepidemic villages with suspected patients, and the diagnostic rate was 17.39%. The age of the patients ranged from 48 to 88 years, and patients aged ≥60 years accounted for 89.47%. 53.01%of patients received long-term drug treatment;however, no patients received surgical treatment.Corn and wheat,cash crops,and rice accounted for 51.98%,31.21% and for 11.64% of the total cultivated land area in the epidemic villages. 83.75% of the epidemic villages used rice as the staple food. Conclusion The condition of KBD is relatively mild in Bazhong city,and most of the existing patients are old patients with the disease history. While continuing to implement various preventive measures,it is necessary to treat,follow up and manage current patients with KBD.

关 键 词：大骨节病 流行情况 横断面调查 

分 类 号：R684.1[医药卫生—骨科学]