2002年四川省燃煤型氟中毒监测结果分析  

Analysis of Surveillance Results for Coal Burning Fluorosis Areas of Sichuan Province in 2002

作　　者：邓斌[1] 杨小静[1] 邓佳云[1] 梁代华[1] 周定友[1] 刘乾[2] 张人杰[3] 付至忠 何仁仙 梅红年 

机构地区：[1]四川省疾病预防控制中心,成都610031 [2]四川省泸州市卫生防疫站 [3]四川省宜宾市疾病预防控制中心 [4]四川省古蔺县卫生防疫站 [5]四川省兴文县卫生防疫站 [6]四川省荥经县卫生防疫站

出　　处：《预防医学情报杂志》2003年第4期309-312,共4页Journal of Preventive Medicine Information

摘　　要：目的　了解地氟病病情及改炉改灶防治效果 ,为制定地氟病防治策略提供科学依据。方法　按照“四川省燃煤型氟中毒监测方案 (1999- 2 0 0 3)”进行儿童氟斑牙患病率调查 ,尿氟浓度、玉米和海椒氟含量测定。结果　 8～ 12岁儿童氟斑牙患病率为 6 3 0 6 % ,Dean指数为 1 39,尿氟几何均值为 1 0 8mg/L (0 11～ 4 0 13mg/L)。玉米氟含量均值为 4 13mg/kg (0 0 3～ 33 2 0mg/kg) ,海椒氟含量均值为 131 4 1mg/kg (0 71～ 10 74 80mg/kg)。结论　氟中毒病情呈下降趋势 ,但部分地区病情依然严重。提高降氟灶使用率 ,改变病区居民饮食结构及海椒干燥方式 。Objective To understand the disease state and the effect of prevention by means of changing stove in coal burning fluorosis areas,and to provide scientific basis for formulating control strategies of endemic fluorosis in China.Methods According to “the scheme of Sichuan provincial coal burning fluorosis surveillance(1999-2003)”,the incidence rate of dental fluorosis was examined among children,and the level of urinary fluoride,corn fluoride and capsicum fluoride were detected in surveillance spot.Results The incidence rate and Dean's index of dental fluorosis in children aged from 8 to 12 were 63 06% and 1 39 respectively,and the geometric mean of urinary fluoride was 1 08 mg/L(0 11～40 13).Corn fluoride content was 4 13 mg/kg(0 03～33 20),and capsicum fluoride content was 131 41 mg/kg(0 71～1074 80).Conclusions The state of fluorosis had dropped gradually in recent years,but serious yet in most areas.we must adopt integrated method to control the coal burning fluorosis,such as increasing the use of defluoridation store,changing food and method of capsicum dryness,and strengthening health education.

关 键 词：燃煤型氟中毒 监测 病情 尿氟 

分 类 号：R599[医药卫生—内科学]