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目的了解甘肃省成人大骨节病病情,为成人大骨节病治疗提供科学依据。方法选取26个县(区)的60个调查点,对所有16岁以上常住人口进行大骨节病病情调查,统计检出率及构成比。结果临床检查34 941人,Ⅰ°以上患者6 125人,Ⅰ°以上检出率17.53%,其中Ⅰ°检出率10.70%,Ⅱ°检出率5.44%,Ⅲ°检出率1.39%;男、女检出率差异无统计学意义(χ2=0.150,P=0.901>0.05);检出率以46岁以上年龄段为高,各年龄段检出率差异有统计学意义;60个调查点中,检出率≥20%的点有26个,占43.33%。结论甘肃省部分地区成人大骨节病病情严重,应开展综合防治,提高大骨节病患者的生存质量。
Objective To understand the condition of adult Kashin-Beck disease in Gansu Province and provide a scientific basis for the treatment of adult Kashin-Beck disease. Methods Sixty counties in 26 counties (districts) were selected to investigate the prevalence of Kashin-Beck disease in all the residents over the age of 16, and the detection rate and constituent ratio were obtained. Results A total of 34 941 patients were examined, with 6 125 patients with Ⅰ ° or more. The detection rate above Ⅰ ° was 17.53%. The detection rate of Ⅰ ° was 10.70%, the detection rate of Ⅱ ° was 5.44% and the detection rate of Ⅲ ° was 1.39%. (Χ2 = 0.150, P = 0.901> 0.05). The detection rate was higher in people over 46 years of age, and there was a significant difference in the detection rate among all age groups. There were no significant differences in the detection rate of 60 survey points In the detection rate of ≥ 20% of the points 26, accounting for 43.33%. Conclusion Adult Kashin-Beck disease is serious in some areas of Gansu Province. Comprehensive prevention and treatment should be carried out to improve the quality of life of patients with Kashin-Beck disease.