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目的了解巫溪县燃煤型氟中毒病情和防治措施落实进度及发展趋势,为制定防治燃煤型氟中毒措施提供依据。方法运用Dean’s法检查该县所有病区村8～12岁儿童氟斑牙(GB16396-1996)和检查16岁以上成人氟骨症(WS192-1999),计算氟斑牙检出率和成人氟骨症检出率。调查2005-2008年中央转移支付地方公共卫生地氟病防治项目改炉改灶现状,计算炉灶改造率、改炉改灶合格率、改炉改灶正确使用率。2005-2008年在改炉改灶前后分别检测儿童尿氟,计算几何均数。结果儿童氟斑牙检出率为46.21%,成人氟骨症检出率为0,炉灶改造率为59.52%,合格率为97.16%,正确使用率为97.76%,尿氟几何均数改炉改灶前后均呈下降趋势。结论巫溪县燃煤型氟中毒病区呈轻微流行,2005-2008年结合中央转移支付地方公共卫生地氟病防治项目进行了大规模的改炉改灶工作,要达到国家75%的目标还需改炉改灶3600余户。
Objective To understand the progress and development trend of the coal-borne fluorosis in Wuxi County and the prevention and cure measures, and provide the basis for the prevention and control of coal-based fluorosis. Methods Dental fluorosis (GB16396-1996) and fluorosis (WS192-1999) of adults over the age of 16 were examined by Dean’s method in all ward villages of the county. The detection rate of dental fluorosis and adult fluorosis Disease detection rate. To investigate the status quo of furnace reform in the endemic fluorosis prevention and control project of the central public health fund transfer from 2005 to 2008 and to calculate the furnace reforming rate, the qualified rate of the furnace reforming furnace and the correct utilization rate of the furnace reforming furnace. 2005-2008 before and after the converter to change the stove were tested urine fluoride, calculate the geometric mean. Results The detection rate of dental fluorosis in children was 46.21%, the detection rate of skeletal fluorosis in adults was 0, the rate of stove renovation was 59.52%, the pass rate was 97.16% and the correct usage rate was 97.76% Before and after the stove showed a downward trend. Conclusion The coal-burning type fluorosis area in Wuxi County was mildly prevalent. In 2005-2008, a large-scale conversion furnace renovation project was carried out in connection with the central public health endemic fluorosis prevention and treatment project. To reach the national target of 75% To change the stove to change more than 3600 households.