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目的分析河南省大骨节病流行现状及其原因,提出我省今后的主要防治策略。方法选择在地形、地貌、生产、生活等特点上具有我省代表性的病区为监测点,连续12年进行儿童大骨节病临床检查和拍摄7～12岁儿童X线手片调查。结果 12年共拍摄7～12岁儿童X线手片1 928人,X线阳性17人,阳性检出率为0.88%,其中干骺端7人,干骺端检出率为0.36%,骨端10人,骨端检出率为0.52%。临床检查1 928人,累计检出Ⅰ度病人4例。结论我省大骨节病病情与历史病情相比有大幅下降,病情较轻且相对稳定。为了实现消除大骨节病目标,我们仍需做大量艰苦细致的防治工作。
Objective To analyze the prevalence and causes of Kashin-Beck disease in Henan Province and put forward the main prevention and control strategies in future in our province. Methods Select ward representative sites in the topography, geomorphology, production, and life characteristics as the monitoring points for 12 consecutive years of clinical examination of children with Kashin-Beck disease and X-ray survey of children aged 7 to 12 years. Results A total of 1 928 X-ray radiographs were obtained from children aged 7 to 12 years. The positive rate was 0.88% in X-ray, of which 7 were metaphyseal and 0.36% were metaphyseal 10 end, the detection rate of bone end was 0.52%. A total of 1 928 people were examined clinically and 4 patients were classified as Ⅰ degree. Conclusion The prevalence of Kashin-Beck disease in our province has dropped significantly compared with the historical condition, the disease is mild and relatively stable. In order to achieve the goal of eliminating Kashin-Beck disease, we still need to do a great deal of hard and meticulous prevention and control work.