青海省兴海县大骨节病调查报告

An investigation of Kaschin-Beck disease in Xinghai County,Qinghai Province

目的通过对青海省兴海县大骨节病的调查,掌握兴海县大骨节病病区分布范围、流行强度和流行趋势,为大骨节病防治研究提供依据。方法按全国大骨节病监测方案要求,对兴海县唐乃亥乡、曲什安镇、龙藏乡及中铁乡共11个村的7~13岁儿童进行流行病学调查、临床检查及X线检查。结果4个调查点临床总患病率为1.25%(10/801),临床病情在0%~5.27%之间,X线总检出率为5.24%(42/801),X线病情在0%~10.87%之间,其中干骺端检出率在0%~8.70%之间,骨端检出率在0%~3.08%之间。结论兴海县4个调查点只有赛日巴村未检出大骨节患者外,其余10村均有大骨节患者存在,病情以唐乃亥乡为重。

Objective To investigate the distribution,epidemic staus and trend of kaschin-beck disease（KBD）in Xinghai County of Qinghai Province,in order to provide information for the prevention and control.MethodsAccording to the national monitor scheme of KBD,school children aged 7-13 years from11 villages in 4 towns were examined and photoed with X-ray.Results The total prevalence rate of KBD was 1.25%（10/801）,ranging from0%to5.27%.The total detectable rate of X-ray was 5.24%（42/801）,ranging from0%to10.87%.The detectable rate of metaphysic lesion and epiphysis lesion was 0%-8.7% and 0%-3.08%,respectively.Conclusion There are KBD cases in10 of the 11 villages in the 4 towns surveyed.KBD prevalence is still serious in Tangnaihai town.