河南省饮水型地方性氟中毒病区控制评价自查项目质量评估  

Quality assessment of self-inspection projects for control and evaluation of drinking water-borne endemic fluorosis in Henan Province

作　　者：李晓红[1] 原春生[1] 郑合明[1] 李小烽[1] 侯国强[1] 闫英洁 马嘉俊 Li Xiaohong;Yuan Chunsheng;Zheng Heming;Li Xiaofeng;Hou Guoqiang;Yan Yingjie;Ma Jiajun(Department for Endemic Diseases Prevention and Control,Henan Provincial Center for Disease Control and Prevention,Zhengzhou 450016,China)

机构地区：[1]河南省疾病预防控制中心地方病预防控制所,郑州450016

出　　处：《中华地方病学杂志》2022年第9期770-774,共5页Chinese Journal of Endemiology

摘　　要：目的掌握河南省饮水型地方性氟中毒病区县(市、区)控制评价自查项目的省级质量评估情况,以保证各病区县(市、区)自查工作质量。方法在河南省抽取30个饮水型地方性氟中毒病区县(市、区)作为项目县(市、区),采取查阅与审核资料、现场调查与复核的方式,审核自查项目执行情况,调查病区村改水情况、水氟含量、8~12岁儿童氟斑牙患病情况,并进行自查项目省级质量评估分析。结果共调查30个县(市、区)的99个病区村,30个县(市、区)全部完成自查项目调查任务。共采集99份水样,有23个县(市、区)水氟的县(市、区)级自查和省级复核结果一致,占调查县(市、区)的76.67%;共调查8~12岁儿童5815人,有18个县(市、区)氟斑牙检出率的县(市、区)级自查与省级复核结果一致,占调查县(市、区)的60.00%。结论河南省县(市、区)级饮水型地方性氟中毒控制评价自查项目完成情况较好,大部分自查项目与省级复核结果一致,但部分县(市、区)基层专业技术人员的疾病诊断能力和实验室人员的检测技术水平有待提高。Objective To master the provincial-level quality assessment of the self-inspection projects for control and evaluation of drinking water-borne endemic fluorosis in the counties(cities,districts)of Henan Province,so as to ensure the quality of self-inspection.Methods Totally 30 counties(cities,districts)with drinking water-borne endemic fluorosis in Henan Province were selected as project counties(cities,districts),using consulting and checking data,on-site investigation and review,the implementation of self-inspection projects were audited.The water improvement and the water fluorine content,and the prevalence of dental fluorosis in children aged 8-12 were investigated in villages with drinking water-borne endemic fluorosis,and the provincial-level quality assessment of the self-inspection projects was carried out.Results A total of 99 villages with drinking water-borne endemic fluorosis in 30 counties(cities,districts)were investigated,and all 30 counties(cities,districts)completed the investigation task of self-inspection projects.A total of 99 water samples were collected,and there were 23 counties(cities,districts)with the same results of county(city,district)self-inspection and provincial-level review of water fluorine,accounting for 76.67%;a total of 5815 children aged 8-12 were investigated,there were 18 counties(cities,districts)with the same results of county(city,district)self-inspection and provincial-level review of dental fluorosis detection rate,accounting for 60.00%.Conclusions The self-inspection projects of control and evaluation of drinking water-borne endemic fluorosis at the county(city,district)level in Henan Province are completed well.Most of the self-inspection projects are consistent with the provincial-level review results,but the disease diagnosis ability of grass-roots professional personnel and the detection technical level of laboratory technician in some counties(cities,districts)need to be improved.

关 键 词：饮水 氟中毒 自查 质量评估 

分 类 号：R599.1[医药卫生—内科学]