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目的掌握甘肃省大骨节病病情现状和消长趋势。方法选取7个县(区)作为监测点,对7~16岁儿童进行临床检查并对7~12岁儿童及13~16岁临床诊断Ⅰ度及以上病人进行右手X线拍片检查,统计临床Ⅰ度以上检出人数、检出率,X线检出人数、检出率,临床诊断Ⅰ度及以上病人与X线符合情况;收集监测点综合防控措施落实资料。结果临床检查3 019人,检出Ⅰ度及以上病人24例,检出率为0.80%;X线拍片1 977人,检出23例,检出率为1.16%,干骺端检出率0.71%,骨端检出率0.46%,无三联征检出;临床诊断Ⅰ度及以上病人与X线检查符合率为37.50%;近3年在监测点实施供应硒碘盐,受益人口40 380人;监测病区村无搬迁及易地育人,没有实施换粮。结论甘肃省儿童大骨节病病情处于基本控制后的平稳低发态势。
Objective To grasp the current situation of Kashin-Beck disease in Gansu Province and its trend of growth and decline. Methods Seven counties (districts) were selected as monitoring points for clinical examination of 7-16-year-old children and right-handed X-ray film examination of children aged 7-12 years and clinical diagnosis of grade I and 13-16 years old. The clinical stage Ⅰ The detection rate, the detection rate, the number of X-ray detection, the detection rate, the clinical diagnosis of Ⅰ degree and above the X-ray patient and the compliance with the situation; collect information on the implementation of integrated monitoring and control measures. Results A total of 3 019 clinical tests were performed. Twenty-four patients with grade Ⅰ or higher were detected. The detection rate was 0.80%. There were 1 977 X-ray films in 23 cases with the detection rate of 1.16% and the detection rate of metaphyseal 0.71 %, Detection rate of bone end 0.46%, no triple detection; clinical diagnosis of Ⅰ and above patients and X-ray examination coincidence rate was 37.50%; in the past three years the implementation of the supply of selenium iodized salt monitoring point beneficiary population 40 380 No wards were relocated in the ward area and people were educated ex situ. There was no implementation of food replacement. Conclusion The prevalence of Kashin-Beck disease in children in Gansu Province is stable and low after the basic control.