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目的为阿坝州综合防治大骨节病试点工作提供科学依据和综合治理措施效果评估提供基础性资料。方法根据《2008年阿坝州大骨节病58个监测点监测实施方案》的要求,按照病情轻、中、重程度,设立大骨节病病情监测点58个,开展大骨节病病情和相关危险因素监测。结果共临床检查22 259人,查出Ⅰ度及Ⅰ度以上大骨节病患者6 408人,平均患病率为28.79%。其中临床检查6~13岁儿童3 802人,查出Ⅰ度及Ⅰ度以上大骨节病6人,检出率为0.16%;拍摄6~13岁儿童X线片2 540张,X线阳性片69张,平均检出率为2.72%;采集6~13岁儿童发样297份;发硒值(均值±标准差)为0.21±0.066 mg/kg;采集主食粮样250份,T-2毒素值(均值±标准差)为7.71±5.31 ng/g。结论阿坝州大骨节病患者多、病情重、X线阳性检出率较高。
Objective To provide a scientific basis for the comprehensive prevention and treatment of Kashin-Beck disease in Aba Prefecture and to provide basic information on the effectiveness evaluation of comprehensive treatment measures. Methods According to the requirements of “2008 Implementation Plan of 58 Kashin-Beck Disease Surveillance Stations in Aba Prefecture”, 58 Kashin-Beck disease monitoring points were established according to the severity of illness, moderate and severe degree, and KBD prevalence and related risk factors were monitored . Results A total of 22 259 clinical examinations were performed. Among 6 408 patients with grade Ⅰ and degree KBD, the average prevalence was 28.79%. Among them, 3 802 children aged 6-13 years were examined clinically. Six patients with degree Ⅰ and degree KBD were found, with a detection rate of 0.16%. A total of 2 540 X-ray films and 6 X- The average detection rate was 2.72%. 297 samples of children aged 6 ~ 13 were collected. The selenium value (mean ± standard deviation) was 0.21 ± 0.066 mg / kg. 250 samples of staple food samples, T-2 toxin Values (mean ± standard deviation) were 7.71 ± 5.31 ng / g. Conclusion There are many patients with Kashin-Beck disease in Aba prefecture, with severe illness and high positive rate of X-ray.