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目的了解2009年泉州市地方性氟中毒地区改水降氟防治效果,为地方性氟中毒防治提供依据。方法参照WS/T90-1996改水降氟措施效果评价标准和地方性氟中毒防治手册,对全市29个地方性氟中毒病区村,检测水、尿中氟的含量以及氟斑牙、氟骨症的发病情况。结果洛江区、南安市、永春县、安溪县水氟含量均数分别为0.31mg/L、0.19mg/L、0.30mg/L、0.42mg/L,均小于1.0mg/L。当地出生并在当地生长的8~12周岁儿童氟斑牙患病率分别为28.26%、7.32%、19.05%、15.54%,均小于30%。儿童尿氟含量几何均数分别为1.05mg/L、1.06mg/L、0.79mg/L、1.25mg/L,均小于1.4mg/L。安溪县16岁以上人群临床检查氟骨症患病率1.27%,X线检查氟骨症患病率12.0%。结论洛江区、南安市、永春县、安溪县改水降氟取到明显效果,氟中毒病情得到基本控制。但个别病区村水氟、尿氟含量较高,需引起重视。
Objective To understand the effect of water and fluoride control on endemic fluorosis in Quanzhou in 2009 and provide evidence for the prevention and treatment of endemic fluorosis. Methods Reference WS / T90-1996 water and fluoride reduction measures effect evaluation criteria and local fluorosis prevention and control manuals, the city’s 29 local fluorosis village, water and urine fluoride content and dental fluorosis, fluorosis The incidence of disease. Results The average fluoride content of water in Luojiang District, Nan’an City, Yongchun County and Anxi County were 0.31mg / L, 0.19mg / L, 0.30mg / L and 0.42mg / L respectively, both less than 1.0mg / L. The prevalence of dental fluorosis in children aged 8-12 years old born locally and locally was 28.26%, 7.32%, 19.05% and 15.54% respectively, all less than 30%. Children urinary fluoride geometric mean were 1.05mg / L, 1.06mg / L, 0.79mg / L, 1.25mg / L, were less than 1.4mg / L. The prevalence of skeletal fluorosis was 1.27% in people over 16 years old in Anxi County. The prevalence of skeletal fluorosis was 12.0%. Conclusion Luofang District, Nan’an City, Yongchun County and Anxi County have achieved remarkable results in reducing fluoride in drinking water and getting basic control of fluorosis. However, individual ward village fluoride, urinary fluoride content higher, need attention.