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目的掌握山西省儿童大骨节病的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《2008年度国家大骨节病防治项目技术方案》的要求,2009年在全省选取4个县12个历史重病区村作为调查点,对7～12岁儿童进行临床检查及右手X线拍片检查,X线片观察部位为掌指骨及腕关节。并收集调查点种植结构与主食构成及近3年防治措施落实等情况。结果共调查7~12岁儿童1 200人,临床未检出阳性病例,X线检出10例干骺端阳性病例,检出率为0.83%,骨端未检出阳性病例。结论山西省儿童大骨节病病情稳定在基本控制范围内,社会与经济的发展是大骨节病持续控制的保障。
Objective To understand the current status and the trend of growth and decline of Kashin-Beck disease in children in Shanxi Province, evaluate the effect of prevention and treatment, and provide a scientific basis for adjusting control strategy. Methods In accordance with the requirements of “Technical Plan of National Kashin-Beck Disease Prevention and Treatment Project in 2008”, 12 historic serious ward villages in 4 counties were selected as survey sites in 2009 in the province to conduct clinical examination and right-handed X-ray filming on children aged 7 to 12 Check, X-ray film for the observation of the phalanges and wrist joints. And collected the investigation point planting structure and staple food composition and the implementation of prevention and control measures in the past 3 years and so on. Results A total of 1 200 children aged 7-12 years were investigated. No positive cases were detected in the clinical cases. Ten cases of metaphyseal positive cases were detected by X-ray. The detection rate was 0.83%. No positive cases were detected in the bone ends. Conclusion The prevalence of Kashin-Beck disease in children in Shanxi province is within the basic control range. The development of society and economy is the guarantee for the sustained control of Kashin-Beck disease.