辽宁省饮水型地方性氟中毒病区儿童氟斑牙普查结果分析  

Analysis of dental fluorosis among children in drinking water endemic fluorosis areas in Liaoning

作　　者：阚忠媛[1] 王健辉[1] KAN Zhong-yuan;WANG Jian-hui(Department for Endemic Disease Prevention and Control,Liaoning Provincial Center for Disease Control and Prevention,Shenyang,Liaoning 110005,China)

机构地区：[1]辽宁省疾病预防控制中心地方病预防控制所,辽宁沈阳110005

出　　处：《现代预防医学》2021年第19期3499-3502,3508,共5页Modern Preventive Medicine

基　　金：2020年中央补助地方重大公共卫生服务地方病防治项目。

摘　　要：目的掌握辽宁省饮水型地方性氟中毒病区村儿童氟斑牙病情现状,为调整防治策略提供科学依据。方法2020年,辽宁省对所有的饮水型氟中毒病区村进行8~12岁儿童氟斑牙普查,采用《氟斑牙诊断》(WS/T 208—2011)进行儿童氟斑牙检查和分度判定,计算儿童氟斑牙患病率,比较改水村与未改水村、水氟达标村与水氟超标村儿童氟斑牙患病率。结果全省合计检查8~12岁学生34552人,检出氟斑牙患者1533人,氟斑牙患病率为4.4%。其中,可疑病例2110人,占全部受检儿童的6.1%;极轻1038人,占全部受检儿童的3.0%;轻度451人,占全部受检儿童的1.3%;中度43人,占全部受检儿童的0.1%;重度1人,占全部受检儿童的0.003%。结论多年来辽宁省积极落实饮水型氟中毒病区防控改水措施,有效地控制了饮水型地方性氟中毒危害,儿童氟斑牙患病率有明显改善。但依然存在个别病区儿童氟斑牙患病率超标情况,应结合实际,加强健康教育,推进卫生水源的使用,切实防治氟中毒危害。Objective To understand the current situation of dental fluorosis among children in drinking water endemic fluorosis areas in Liaoning Province,and to provide scientific basis for adjusting prevention and control strategies.Methods In 2020,a general survey of dental fluorosis of children aged 8-12 in all drinking water fluorosis areas in Liaoning Province was conducted.Dental fluorosis of children was examined and graded by dental fluorosis diagnosis(WS/T 208-2011).The prevalence of dental fluorosis of children was calculated,and the prevalence of dental fluorosis of children in villages with and without water fluorosis was compared.Results A total of 34552 students aged 8-12 years old were examined in the whole province,and 1533 patients with dental fluorosis were detected.The prevalence rate of dental fluorosis was 4.4%.Among them,2110 cases were suspected,accounting for 6.1%of all the children examined,and 1038 children were very light,accounting for 3.0%of all the children examined.There were 451 mild cases,accounting for 1.3%of all the children examined,43 cases were moderate,accounting for 0.1%of all the children examined and one child was severe,accounting for 0.003%of all the children.Conclusion Over the years,Liaoning Province has actively implemented the prevention and control measures of drinking water type fluorosis,effectively controlled the harm of drinking water type endemic fluorosis,and the prevalence of dental fluorosis in children has been improved.However,the prevalence of dental fluorosis in some endemic areas still exceeds the standard.We should strengthen health education,promote the use of health water,and effectively prevent the harm of fluorosis.

关 键 词：牙 氟中毒 患病率 

分 类 号：R123.5[医药卫生—环境卫生学] R179[医药卫生—公共卫生与预防医学]