论文部分内容阅读
目的通过对消除大骨节病区评估工作的讨论分析,探讨消除大骨节病区监测评估模式的可行性和有效性。方法对全区大骨节病病区30年监测、干预、调查结果数据及各类信息进行汇总分析。结果怀柔区大骨节病区建立了政府主导下的大骨节病防治组织领导体系。32年中临床监测总人数21 968人次,X线手片监测5 935人次。以5年为一个阶段,临床检出率由最高34.92%降至最低3.05%,下降了11.5倍。X线检出率由最高23.66%降至最低的1.19%,下降了19.9倍。特别是近10年,年均临床检出率4.33%,X线检出率1.27%。7～12岁儿童发硒检测结果最小值0.209μg/g,最大值0.508μg/g,中位数0.3397±0.0064μg/g。经过综合防控,居民口粮非病区输入大米占52.93%,面粉33.58%,两项合计占86.51%,本地玉米、小米等杂粮占13.49%。结论怀柔区不具备大骨节病病区存在条件,予以消除。评估模式切实可行,结论客观权威。
OBJECTIVE: To discuss and analyze the evaluation of the treatment of patients with Kashin-Beck Disease, and to explore the feasibility and effectiveness of eliminating the monitoring and evaluation model of Kashin-Beck disease. Methods A total of 30 areas of Kashin-Beck disease ward monitoring, intervention, survey data and all kinds of information were summarized. Results Huafu District, KBD established a government-led system for the prevention and treatment of Kashin-Beck disease leadership system. The total number of clinical monitoring in 32 years was 21,968 and that of X-ray hand-held monitoring was 5,935. With 5 years as a stage, the clinical detection rate dropped from the highest 34.92% to the lowest 3.05%, a decrease of 11.5 times. X-ray detection rate from the highest 23.66% down to the lowest 1.19%, a decrease of 19.9 times. Especially in the past 10 years, the average annual clinical detection rate was 4.33% and the X-ray detection rate was 1.27%. Selenium test results of children aged 7 to 12 years minimum 0.209μg / g, the maximum value of 0.508μg / g, the median 0.3397 ± 0.0064μg / g. After comprehensive prevention and control, residents of non-ward entered the rice accounted for 52.93%, flour 33.58%, the two together accounted for 86.51%, local corn, millet and other grains accounted for 13.49%. Conclusion Huairou District does not have the conditions for KBD ward, to be eliminated. Evaluation model is feasible, the conclusion of objective authority.