2010年山西省大骨节病病情调查与分析

Investigation and analysis of Kaschin-beck disease epidemic in Shanxi Province in 2010

目的掌握山西省大骨节病病情现状及消长趋势,评估防治效果,为调整防治策略提供科学依据。方法按照《2009年度国家大骨节病防治项目技术方案》要求,选取2个大骨节病历史重病区县,在每个县对监测点全部7～16岁儿童进行临床检查;7～12岁儿童及13～16岁临床诊断为阳性的儿童进行右手X线拍片检查;大骨节病诊断按《大骨节病诊断标准》(GB 16003-1995)执行。结果 7～16岁儿童大骨节病临床共调查544人,未检出阳性病人;7～12岁儿童X线拍片共404人,检出干骺端阳性儿童1例,骨端阳性儿童1例,干骺端阳性率总计为0.25%(1/404),骨端阳性率总计为0.25%(1/404)。结论山西省儿童大骨节病病情稳定在控制范围内,今后应继续加强病情监测工作。

Objective To master epidemic situation and variation tendency of Kaschin-beck disease（KBD） in Shanxi Province,to assess control effect and provide scientific evidence for making scientific and effective tactics in prevention and control.Methods According to ＂The National Technical Scheme for Kaschin-beck Disease Control in 2009＂,2 Kaschin-beck history serious epidemic area counties were selected and children aged 7-16 years old in the surveillance site of each county were underwent clinical investigation.Children of 7 to 12 years old and 13 to 16 years old who were diagnosed positive clinically were taken right hand X-ray.The diagnosis was based on Diagnostic Standard for Kaschin-Beck Disease＂（GB 16003-1995）.Result Clinically,544 children aged 7 to 16 years old were investigated,and none of them was the clinical patient.404 children of 7-12 years old were taken right hand X-ray,and 1 was of positive metaphysic and 1 of positive capitulum,with positive rate of metaphysis of 0.25%（1/404） and positive rate of capitulum of 0.25%（1/404）.Conclusions Epidemic situation of KBD in children in Shanxi Province is under control.Monitoring work should be strengthened continuously.