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目的掌握陕西省大骨节病病情动态,为制订防治策略提供科学依据。方法根据历年陕西省大骨节病病情监测结果和病情分布特征,2007年在陕西省选择病情较重的10市36县(区)80个村,按照全国大骨节病监测方案,对病区7~13岁儿童进行临床和X线检查。结果临床共检查7~13岁在校学生4 340人,检出5例I度病人,Ⅱ、Ⅲ度未检出,I度以上检出率0.12%。X线拍片检查7~13岁在校学生4 340人,检出阳性病人18例,X线检出率0.41%;干骺端检出12例,干骺端检出率0.28%,其中干骺端“++”与“+++”各1例;骨端检出8例,骨端检出率0.18%。结论陕西省大骨节病呈稳定下降之势,但应继续开展病情监测,加强健康教育,完善防治措施,杜绝新发,治疗现患。
Objective To grasp the status of Kashin-Beck disease in Shaanxi Province and provide a scientific basis for making prevention and cure strategies. Methods According to the monitoring results of KBD and the distribution of disease in Shaanxi Province in recent years, 80 villages (36 districts) in 36 counties (districts) in 10 cities were selected in 2007 in Shaanxi Province. According to the monitoring program of KBD, 13-year-old children for clinical and X-ray examination. Results A total of 4340 school-aged children aged 7-13 years were examined in our hospital. Five patients with grade I were diagnosed. Grade II and III were not detected. The detection rate was above 0.12%. X-ray film examination of 7 to 13-year-old 4 340 students, 18 were positive patients detected, X-ray detection rate of 0.41%; metaphyseal detection in 12 cases, metaphyseal detection rate of 0.28%, of which the metaphyseal There were 1 case of “++” and “+++” in the end, 8 cases were detected in the bone and 0.18% in the bone. Conclusions Kashin-Beck disease in Shaanxi Province showed a stable decline trend. However, disease surveillance should be continued, health education should be strengthened, prevention and control measures should be perfected, new vaccination should be stopped and the current patients treated.