甘肃省大骨节病现况调查报告

Findings Report of Present State of Keschin-Beck Disease in Gansu Province

为全面掌握甘肃省大骨病病情现况 ,指导防治 ,2 0 0 0年对 2 6个病区县进行了病情调查。临床抽查 14 2 90人 ,检出患者 16 4 9人 ,患病率 11.4 9% ;7～ 12岁儿童临床检查 3939人 ,检出 度以上患儿 4 3人 ,患病率 1.0 9% ;拍儿童手片2 80 2张 ,检出 X线阳性改变 178人 ,平均 X线检出率为 6 .35 %。X线检出率大于 10 %的有 6个县 ,其中 3个县在 2 0 %以上 ,2 0个县 X线检出率在 10 %以下或检出为零。对病区水、土、粮、儿童发硒含量进行了测试 ,水、土、粮样品硒含量均低 ,儿童发硒含量在 15 0～ 30 0 ng/ g之间 ,较补硒防治前含量升高 。

To master the present state of Keschin Beck Disease (KBD) in Gansu Province, children aged from 7~12 years were tested with plain X ray, some of the residents were taken clinical spot checkup, and the selenium contents were determined in hair of the children aged from 7~12, in water, soil, grain and salt. Among all 26 counties suffered from KBD, the children's X ray detectable rate, respectively, were various, 7 counties were zero, 13 under 10%, 6 above 10%, and Hui County, Zhangchuan County, Wen County were in severe state, their X ray rates were higher than 20%. There was a decline in state of KBD in most of Gansu region, while it was still quite severe in some areas.