目的　监测 2 0 0 1年全国大骨节病病情。方法　在病区省、自治区各选 2个最重病区点 ,每个点拍照10 0名 7～ 12岁儿童右手 X光片 ,上报 ,集体读片确认患病水平。结果　东部 7省 :黑龙江检出率 5 .0 %与 0 .9% ,吉林、河北、河南、山西、山东、辽宁 X线检出率为 0 ,达到了控制水平。西部 6省、区 (西藏、青海、甘肃、陕西、四川、内蒙古 )检出率仍然很高 ,2 3点中 8个超过 2 0 % ,最高的达到 47.7% (西藏 ) ,表明病情仍然活跃而严重。结论　今后防治重点应放在西部 ,结合西部大开发计划中的“种树种草、以粮代赈”政策的落实 ,争取在不太久的时间内控制大骨节病 Objective To monitor the prevalence of Kaschin-Beck disease in 2001. Methods In the wards and autonomous regions of the selected two of the most serious ward, each point photographed 10 0 7 ~ 12-year-old children’s right-handed X-ray film, reported, collective reading film to confirm the level of illness. Results The eastern 7 provinces: Heilongjiang detection rate of 5.0% and 0.9%, Jilin, Hebei, Henan, Shanxi, Shandong, Liaoning X-ray detection rate of 0, reached the control level. The detection rates were still high in 6 provinces and autonomous regions in western China (Tibet, Qinghai, Gansu, Shaanxi, Sichuan and Inner Mongolia), with 8 of 20 out of 20 prevailing 20% ​​and the highest reaching 47.7% (Tibet) indicating that the disease was still active serious. Conclusion The focus of prevention and treatment should be put on the west in the future. In combination with the implementation of the policy of “planting trees and grazing in response to food for relief” in the plan for the development of western China, we should strive to control Kashin-Beck disease in a relatively short period of time