河南省大骨节病病区16岁以上人群重点调查

Pivot investigation on population over 16 years old of Henan provincial KBD region

目的 掌握 16岁以上人群大骨节病流行趋势和患者现况 ,为今后开展防治与研究提供依据。方法 采用重点调查的方法 ,对历史病情较重的 2个病村 16岁及以上居民大骨节病病情进行普查 ;对部分患者拍摄右手、肘部X线片 ;调查 3 0户当地居民的膳食、饮水、住宅、粮食储存方式等情况。结果 临床检查 82 2人 ,检出Ⅰ度及以上患者 145人 ,检出率 17.64 % ;拍摄手、肘部X线片 42人 ,干骺阳性 5人 ,占 11.90 % ,骨端阳性 2 4人 ,占 5 7.14% ,肘关节狭窄 15人 ,占 3 5 .71% ;除蔬菜、豆腐、动物蛋白与非病区比较差异无显著意义外 ,主食、饮水、储粮、居住环境与非病区比较差异有显著意义。结论 低年龄组 (2 0岁以下 )无患者 ,患者多为 3 0岁以上年龄组 。

Objective To grasp the tendency and situation of Kaschin Beck disease(KBD),and provide basic materials for further study and control.Methods Taking pivot investigation, study the state of KBD in 2 traditional KBD villages on population over 16 years old; take X ray of right hands and elbows on some of these patients; detect foods, drinking water, dwelling house, and ways of food reserving.Results One hundred and forty five KBD patients being detected from 822 subjects, detectable rate is 17.64%; take X ray on hands and elbows of 42 subjects, 5 (11.90%) subjects metaphysis positive, 24 (57.14%) epiphysis positive, and 15 (35.71%) elbow joint stricture positive; compare with non KBD regions, main foods, drinking water, ways of food reserving and dwelling house with significant difference (P0.05) except vegetables, bean curd and animal protein (P>0.05).Conclusions There are no patient under 20 years old and most of KBD patients are over 30 years old, by the age increase the state of KBD become heavier.