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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 grasp the status of Kashin-Beck disease in Shanxi Province and its trend of growth and decline, to evaluate the effect of prevention and treatment, and to provide a scientific basis for adjusting control strategy. Methods According to the requirements of “2009 National Kashin-Beck Disease Prevention and Control Project Technical Plan”, 2 Kashin-Beck disease cases were selected, and all children aged 7-16 years at the monitoring sites were inspected in each county. Children aged 7-12 years and 13 to 16-year-old clinical diagnosis of children with positive X-ray film examination; diagnosis of Kashin-Beck disease “Kashin-Beck disease diagnosis criteria” (GB 16003-1995) implementation. Results A total of 544 children with Kashin-Beck disease were investigated in 7-16-year-old children. No positive patients were detected. There were 404 X-ray films of 7-12-year-old children, including 1 metaphyseal positive child and 1 bone- The positive rate of metaphysis was 0.25% (1/404), and the positive rate of bone end was 0.25% (1/404). Conclusion The prevalence of Kashin-Beck disease in children in Shanxi Province is within the control range, and the condition monitoring should continue to be strengthened in the future.