2015年江苏省饮水型地方性氟中毒调查

发布时间：2018-11-02 09:02

【摘要】：目的了解江苏省饮水型地方性氟中毒病区氟中毒的现状。方法于2015年,选择江苏省徐州、连云港、宿迁、淮安、射阳五个市的26个氟中毒病区县的全部病区村,调查改水工程运行情况并检测水氟浓度,采用Dean法进行8~12岁儿童氟斑牙检查。结果共调查病区村2 090个,检查8~12岁儿童149 034人,氟斑牙检出率28.33%,氟斑牙指数0.52。各地区儿童氟斑牙检出率依次为徐州连云港盐城宿迁淮安,差异有统计学意义(χ~2=1 648.173,P0.05);徐州呈轻微流行,连云港呈边缘流行,淮安、宿迁、盐城呈阴性。1981—2000年改水村儿童氟斑牙的检出率低于2001—2015年,差异有统计学意义(χ~2=606.953,P0.05)。改水且正常使用、改水但不正常使用、未改水病区村氟斑牙检出率分别为27.04%、41.59%、37.98%,差异有统计学意义(χ~2=83.412,P0.05)。随着水氟浓度的升高,儿童氟斑牙的检出率呈升高趋势,差异有统计学意义(χ~2=894.696,P0.05)。男童、女童的氟斑牙检出率分别为28.47%和28.16%,两者间差异无统计学意义(χ~2=1.084,P0.05)。不同年龄儿童氟斑牙的检出率间比较,差异有统计学意义(χ~2=161.356,P0.05);且以9岁组(30.33%)最高,以12岁组(26.17%)最低。结论 2015年江苏省饮水型氟中毒病情得到一定控制。
[Abstract]:Objective to investigate the status of fluorosis in endemic fluorosis areas of Jiangsu province. Methods in 2015, all the villages of 26 fluorosis counties in Xuzhou, Lianyungang, Suqian, Huai'an and Sheyang were selected to investigate the operation of water improvement project and to detect the water fluoride concentration. Dental fluorosis of children aged 8 to 12 years old was examined by Dean method. Results A total of 2 090 villages were investigated and 149 034 children aged 12 years old were examined. The detection rate of dental fluorosis was 28.33 and the dental fluorosis index was 0. 52. The detectable rate of dental fluorosis was Huai'an in Suqian, Lianyungang, Xuzhou, and the difference was statistically significant (蠂 ~ 2 ~ 2 ~ (1 648.173) P 0.05). In Xuzhou, Lianyungang was marginal, Huai'an, Suqian and Yancheng were negative. From 1981 to 2000, the prevalence rate of fluorosis was lower than that of 2001-2015 (蠂 ~ 2606.953P 0.05). The detectable rate of dental fluorosis in the villages without changing water was 27.04 / 41.59 and 37.98, respectively. The difference was statistically significant (蠂 ~ 2 ~ (83.412) P 0.05). With the increase of fluoride concentration in water, the detection rate of dental fluorosis in children showed an increasing trend, and the difference was statistically significant (蠂 ~ (2) 894.696). The detection rate of dental fluorosis in boys and girls was 28.47% and 28.16, respectively. There was no significant difference between the two groups (蠂 ~ 2 ~ (1.084) P 0.05). The detection rate of dental fluorosis in children of different ages was significantly different (蠂 ~ 2 ~ (161.356) P 0.05), and was the highest in the age of 9 (30.33%) and the lowest in the group of 12 (26.17%). Conclusion the condition of drinking water fluorosis in Jiangsu Province was controlled in 2015.
【作者单位】：江苏省疾病预防控制中心环境疾病(地方病)防制所;
【基金】：江苏省血吸虫病、地防病和寄生虫病防治应用性科研项目(X2001120;X201421)
【分类号】：R599.1

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