2000—2007年全国大骨节病病情监测结果分析

Analysis of national surveillance on Kaschin-Beck disease condition from 2000 to 2007

目的掌握全国大骨节病病情变化，为制订大骨节病防治策略提供科学依据。方法采用资料回顾方法，收集2000—2007年全囤大骨节病病情监测数据，分析2000—2007年我国大骨节病X线检出率变化，比较东、西部大骨节病病情。结果2000—2007年全国14个省（区、市）共上报了189个监测点惜勺监测数据，拍摄儿童右手X线片21287张：2000—2007年全国大骨节病X线检出率呈明显下降趋势，西部病情重于东部，西部平均X线检出率水平由2000年的21．75％下降到了2007年的7．30％；除青海、西藏和内蒙古等个别省（区）外，其他省（区）病情已经基本得到控制，其他各省X线检出率均已在5％以下。结论按X线诊断，已有90％的病区达到控制水平；按病区类型划分，以轻病区为主，中等病区为10％左右，重病区不到1％。

Objective To investigate the trend of the national Kaschin-Beck disease condition, and provide the scientific basis for the government to make preventing strategy. Methods The data were collected from national surveillance on Kaschin-Beck disease （KBD） condition from 2000 to 2007 by restrospective method. The national X-ray detective rates and KBD condition in the eastern and western areas of China were analyzed. Results Monitoring data were collected from 189 monitoring points in 14 provinces of China, and 21 287 X-ray films were photographed of right hands of children from 2000 to 2007. X-ray detective rate was decreased significantly of national KBD from ：2000 to 2007. The condition in the west of China is slightly more serious than the eastern areas, but the average of X- ray detective rate was also decreased from 21.75% to 7.30%. National condition is basically controlled. X-ray detective rate had been controlled below 5%, exept for Qinghai, Tibet and Inner Mongolia and so on. Conclusions Ninty percent of the wards have reached the controlled level according to tbe X diagnosis standard. In terms of the severity of the disease, most of the wards are occupied by patients with slight condition, 10% ward with moderate condition, less than 1% ward with serious condition.