山东省淄博市饮水型地方性氟中毒流行现状调查与分析  

Epidemiological investigation on endemic fluorosis in Shandong Province,Zibo City

作　　者：刘晓利[1] 王丹 程忠哲 LIU Xiaoli;WANG Dan;CHENG Zhongzhe(Environmental Health Testing Institute,Zibo Center for Disease Control and Prevention,Shandong Province,Zibo255026,China;School of Pharmacy,Weifang Medical College,Shandong Province,Weifang261053,China)

机构地区：[1]山东省淄博市疾病预防控制中心环境卫生检测所,山东淄博255026 [2]潍坊医学院药学院,山东潍坊261053

出　　处：《中国当代医药》2024年第6期116-119,共4页China Modern Medicine

基　　金：山东省淄博市环境有机污染物与人群健康监测分析重点实验室开放课题。

摘　　要：目的采用横断面调查的方法,对山东省淄博市饮水型地方性氟中毒流行现状进行调查与分析。方法于2021年6月至12月对淄博市辖区内7个区县(张店区、临淄区、周村区、博山区、桓台县、高青县、沂源县)原有的氟中毒病区村及疑似病区村进行逐一调查登记,对8~12岁1200名在校儿童进行氟斑牙患病率的调查分析,并对淄博市采取的114个改水降氟工程运行情况及运行后的水质状况进行监测与分析。结果地方性氟中毒在淄博市分布广泛,7个区县共3102个行政村中地方性氟中毒病区村459个,高氟危及人群达28万人。高青县是淄博市地方性氟中毒最为严重的地区,病区村占总数的75.2%;高青县中病区村数量占中病区村总数的92.2%,12个重病区均位于高青县。高青县也是8~12岁儿童氟斑牙的患病率最高的地区,20个村的88名儿童的氟斑牙检出率为100%,因受地理环境、气候及经济状况的影响,高青县345个病区村中仅有224个实施了改水降氟工程,占64.9%,是淄博市病区改水率最低的地区。结论淄博市地方性氟中毒总体处于低度流行趋势,但高青县地方性氟中毒防治形势仍然十分严峻,应加大防治经费的投入及改水降氟措施的落实力度,为早日控制地方性氟中毒的流行,保障人民群众免受地方性氟病的威胁做出努力。Objective The epidemic status of water-borne endemic fluorosis in Zibo City,Shandong Province was investigated and analyzed by cross-sectional investigation.Methods From June to December 2021,the villages in the original fluorosis areas and suspected disease areas in 7 districts and counties under the jurisdiction of Zibo City(Zhangdian,Linzi,Zhoucun,Boshan,Huantai,Gaoqing,Yiyuan)were investigated and register one by one.The prevalence of dental fluorosis in 1200 school children aged 8-12 years was investigated and analyzed.The operation status and water quality of 114 water improvement and defluorination projects in Zibo were monitored and analyzed.Results Endemic fluorosis was widely distributed in the city.There were 459 endemic fluorosis endemic villages in 3102 administrative villages in 7 districts and counties,with 280000 people endangered by high fluoride.Gaoqing was the most serious area of endemic fluorosis in the city,and the endemic villages account for 75.2%of the total.The number of villages in the moderately ill areas in Gaoqing accounts for 92.2%of the total number of villages in the moderately ill areas.The 12 seriously ill areas were all located in Gaoqing.Gaoqing was also the area with the highest prevalence of dental fluorosis among children aged 8-12 years old.The detection rate of dental fluorosis among 88 children in 20 villages was 100%.Due to the impact of geographical environment,climate and economic conditions,only 224 of the 345 villages in Gaoqing have implemented water improvement projects,accounting for 64.9%,which was the area with the lowest water improvement rate in the city's wards.Conclusion The epidemic trend of endemic fluorosis in Zibo City is generally low,but the prevention and control situation of endemic fluorosis in Gaoqing County is still very serious.It is necessary to increase the investment of prevention and control funds and the implementation of measures to change water and reduce fluoride,so as to make efforts to control the epidemic of endemic fluorosis as soon

关 键 词：地方性氟中毒 氟斑牙 流行病学调查 淄博市 山东省 

分 类 号：R181[医药卫生—流行病学]