2016-2020年山东省大骨节病病情监测结果分析  

Analysis of monitoring results of Kashin-Beck disease in Shandong Province from 2016 to 2020

作　　者：宗金文 黄金明 翟丽屏[2] 高红旭[2] 汪春雷[2] 王琨 魏广鑫 李长智 Zong Jinwen;Huang Jinming;Zhai Liping;Gao Hongxu;Wang Chunlei;Wang Kun;Wei Guangxin;Li Changzhi(Clinical Nutrition Department,Shandong Public Health Clinical Center,Jinan 250100,China;Department of Endemic Fluorosis and Kashin-Beck Disease,Shandong Institute for Endemic Disease Prevention and Treatment,Jinan 250014,China;General Office,Shandong Institute for Endemic Disease Prevention and Treatment,Jinan 250014,China)

机构地区：[1]山东省公共卫生临床中心营养科,济南250100 [2]山东省地方病防治研究所氟中毒与大骨节病防治研究科,济南250014 [3]山东省地方病防治研究所办公室,济南250014

出　　处：《中华地方病学杂志》2023年第1期56-59,共4页Chinese Journal of Endemiology

基　　金：中央补助地方公共卫生专项资金地方病防治项目(2020)。

摘　　要：目的分析山东省大骨节病监测数据,掌握大骨节病病情变化,为制定大骨节病防治策略,调整大骨节病防治重点提供科学依据。方法根据《全国大骨节病监测方案》和《山东省大骨节病监测方案》要求,2016-2020年在山东省大骨节病病区村开展病情监测,包括临床阳性病例数、X线阳性病例数、干骺端阳性病例数,计算检出率,并宏观分析病情动态变化。结果2016-2020年,山东省共临床检查7~12周岁儿童1816名,未发现儿童大骨节病临床阳性病例;X线检查7~12周岁儿童1224名,其中2016、2017年分别检出1例阳性病例,均为干骺端改变,总检出率为0.16%。共调查成人大骨节病现症患者367例,其中Ⅰ度患者304例、Ⅱ度患者47例、Ⅲ度患者16例。各年度山东省大骨节病病区村均已达到消除标准,消除率均为100%。结论2016-2020年山东省无7~12周岁儿童大骨节病临床病例检出,全部病区村均已达到消除标准,并处于持续消除状态。Objective To analyze the surveillance data of Kashin-Beck disease(KBD)in Shandong Province,master the changes of KBD,and provide scientific basis for formulating prevention and control strategies of KBD and adjustment of the prevention and control focus of KBD.Methods According to the requirements of the"National KBD Monitoring Plan"and the"Shandong KBD Monitoring Plan",from 2016 to 2020,the disease monitoring was carried out in the villages of KBD areas in Shandong Province,including the number of clinical positive cases,the number of X-ray positive cases,and the number of metaphyseal positive cases.The detection rate was calculated,and the dynamic changes of the disease was analyzed macroscopically.Results From 2016 to 2020,a total of 1816 children aged 7-12 years were clinically examined in Shandong Province,and no child with KBD was found.A total of 1224 children were examined by X-ray,among which 1 positive patient was found in 2016 and 2017,respectively,both of whom were metaphyseal changes,with a total detection rate of 0.16%.There were 367 adult patients with KBD in Shandong Province,including 304 patients with gradeⅠ,47 patients with gradeⅡand 16 patients with gradeⅢ.All villages in the KBD areas in Shandong Province had reached the elimination standard,with the elimination rate of 100%.Conclusion No clinical case of KBD is detected in children aged 7-12 years in Shandong Province from 2016 to 2020,which has reached the elimination standard and is in a continuous elimination state.

关 键 词：大骨节病 病情监测 分析 评价 

分 类 号：R684.1[医药卫生—骨科学]