民勤县饮水型地方性氟中毒病区监测结果及氟骨症调查分析

中华养生保健 ›› 2024, Vol. 42 ›› Issue (11): 88-91.

民勤县饮水型地方性氟中毒病区监测结果及氟骨症调查分析

王兵义¹, 刘伟国², 任杰³, 白生存¹, 马中瑞⁴

1.民勤县疾病预防控制中心卫生检验科,甘肃武威,733399;
2.民勤县疾病预防控制中心卫生监测科,甘肃武威,733399;
3.民勤县疾病预防控制中心地方病防治科,甘肃武威,733399;
4.民勤县人民医院骨科,甘肃武威,733399

出版日期:2024-06-01 发布日期:2024-05-22
作者简介:王兵义（1980—）,男,汉族,籍贯：甘肃省武威市,本科,主管检验师,研究方向：医学检验。

Surveillance Results of Drinking Water Type Eendemic Fluorosis in Minqin County and Investigation and Analysis of Skeletal Fluorosis

WANG Bing-yi¹, LIU Wei-guo², REN Jie³, BAI Sheng-cun¹, MA Zhong-rui⁴

1. Health Inspection Department, Minqin County Center for Disease Control and Prevention, Gansu Wuwei 733399, China;
2. Health Monitoring Department, Minqin County Center for Disease Control and Prevention, Gansu Wuwei 733399, China;
3. Endemic Disease Prevention and Control Department, Minqin County Center for Disease Control and Prevention, Gansu Wuwei 733399, China;
4. Department of Orthopaedics, Minqin County People's Hospital, Gansu Wuwei 733399, China

Online:2024-06-01 Published:2024-05-22

摘要/Abstract

摘要： 目的分析民勤县饮水型地方性氟中毒病区监测结果及氟骨症调查结果。方法 2019—2022年,使用随机抽样的方法,选择红沙梁上王化村、西渠致祥村、东湖调元村作为固定监测村。从每个监测村的东、西、南、北、中5方位各采集1份深井水水样,以测定水氟。根据《生活饮用水卫生标准》（GB5749-2006）判断水氟超标情况,使用《地方性氟骨症诊断标准（WS192）》进行检查、判定氟骨症发生情况。分析2019—2022年民勤县饮水性地方性氟中毒病区的水氟监测的结果、已改水村改水工程的运转情况、氟骨症的患病情况,分析氟骨症患者的年龄、性别分布。结果 2019—2022年,3个行政村的水氟均低于1.0 mg/L,同一行政村的水氟在不同年份间对比,差异无统计学意义（P>0.05）。在抽样调查的3个行政村中,2019年均已完成改水,占比100%,改水工程均正常运转。本次共调查3个村共1 663人,其中临床氟骨症检出率为2.47%（41/1 663）,其中轻度者14人（34.15%）,中度19人（46.34%）,重度8人（19.51%）,不同行政村的检出率对比,差异无统计学意义（P>0.05）。调查的1 663人中,男性患病人数占比1.21%,女性患者人数占比1.26%,氟骨症检出率在性别间对比,差异无统计学意义（P>0.05）。在不同年龄间,50~60岁人群氟骨症发病率最高,依次为60~70岁人群、70~80岁人群,但组间对比,差异无统计学意义（P>0.05）。结论改水工程明显改善了民勤县饮水型地方性氟中毒病区的饮用水水氟超标情况,氟骨症的发生比例为2.47%,在不同性别、年龄组间发病率无差异。

关键词: 民勤县, 饮水型地方性氟中毒病区, 氟骨症, 水氟超标

Abstract: Objective To analyze the monitoring results of drinking water type endemic fluorosis in Minqin County and the investigation results of skeletal fluorosis. Methods From 2019 to 2022, a simple random sampling method was used to select Wanghua Village in Hongshaliang, Zhixiang Village in Xiqu, and Tiaoyuan Village in Donghu as fixed monitoring villages. Collect one deep well water sample from each monitoring village in five directions: east, west, south, north, and central, to determine water fluoride. According to the Hygienic Standard for Drinking Water (GB5749-2006), determine the excessive fluoride in water, and use the Diagnostic Standard for Endemic Skeletal fluorosis (WS192) to check and determine the occurrence of skeletal fluorosis. Analyze the monitoring results of water fluoride in drinking water endemic fluorosis areas in Minqin County from 2019 to 2022, the operation of water improvement projects in improved villages, the prevalence of skeletal fluorosis, and the age and gender distribution of skeletal fluorosis. Results From 2019 to 2022, the water fluoride levels in all three administrative villages were lower than 1.0mg/L, and there was no statistically significant difference in water fluoride levels between different years in the same administrative village (P>0.05). In the three administrative villages sampled and surveyed, all had completed water improvement in 2019, accounting for 100%, and the water improvement projects were all operating normally. A total of 1 663 people were investigated in three villages, of which the detection rate of clinical skeletal fluorosis was 2.47% (41/1663), among them, 14 were mild (34.15%), 19 were moderate (46.34%), and 8 were severe (19.51%). There was no statistical significance in the detection rate of different administrative villages (P>0.05). Among the 1 663 people surveyed, the number of male patients accounted for 1.21%, and the number of female patients accounted for 1.26%. There was no statistical significance between male and female in skeletal fluorosis (P>0.05). In different ages, the incidence rate of skeletal fluorosis was the highest among 50-60 people, which were 60-70 years old and 70-80 years old respectively, but there was no statistical significance between the groups (P>0.05). Conclusion The water improvement project has significantly improved the drinking water fluoride exceeding the standard in the drinking water endemic fluorosis area in Minqin County. The incidence of skeletal fluorosis is 2.47%, and there is no difference in the incidence rate among different gender and age groups.

Key words: Minqin County, drinking water type endemic fluorosis area, skeletal fluorosis, excessive fluoride in water

中图分类号:

R123.1

王兵义, 刘伟国, 任杰, 白生存, 马中瑞. 民勤县饮水型地方性氟中毒病区监测结果及氟骨症调查分析[J]. 中华养生保健, 2024, 42(11): 88-91.

WANG Bing-yi, LIU Wei-guo, REN Jie, BAI Sheng-cun, MA Zhong-rui. Surveillance Results of Drinking Water Type Eendemic Fluorosis in Minqin County and Investigation and Analysis of Skeletal Fluorosis[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(11): 88-91.

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