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目的评价四川省大骨节病病情和防治措施效果,为实现“十二五”规划目标提供数据和资料。方法对32个病区县5年内开展2次病情调查,按照随机抽样原则每个县抽取5个病区乡(不足5个者全部抽取),在每个病区乡抽取3个病区村作为调查村(不足3个者全部抽取),对调查村全部7~12岁儿童进行临床检查和右手正位X线检查,收集调查村大骨节病防治措施落实情况,开展大骨节病控制和消除评价县级自评;省级随机抽取符合条件的病区县进行复核。结果32个县所有调查的病区村近5年内2次病情调查7~12周岁儿童无临床病例,X线阳性检出率≤3%,无手部骨端改变病例;大骨节病防治工作组织管理得分均在85分以上。省级抽查的16个县结果与县级自评结果基本相符。结论四川省32个大骨节病病区县均达到病区消除标准。
Objective To evaluate the effect of Kashin-Beck disease and prevention and cure measures in Sichuan Province to provide data and information for the purpose of “Twelfth Five-Year Plan”. Methods Two epidemiological surveys were conducted in 32 wards and counties within 5 years. According to the principle of random sampling, 5 ward townships (less than 5 were drawn) were selected in each county. Three ward villages were selected from each ward town as Survey villages (less than 3 were all drawn), all children surveyed the village of 7 to 12-year-old clinical examination and right hand X-ray examination to collect the investigation of the implementation of the village Kashin-Beck disease prevention and control measures to carry out control and elimination of Kashin-Beck disease evaluation County self-assessment; provincial random selection of eligible ward counties for review. Results All 32 wards in the surveyed wards in 2 counties in the past 5 years were investigated. There were no clinical cases in children aged 7 to 12 years, and the positive rate of X-ray was ≤3%. There was no change in the bone-side of the hand. Management score above 85 points. The results of the 16 counties sampled at the provincial level basically match the results of the self-assessment at the county level. Conclusion 32 Kashin-Beck disease wards in Sichuan Province all reach the ward elimination standard.