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目的 了解云南省地氟病重病区的病情实况 ,为制定防治策略提供依据。方法 2 0 0 2年选择云南省镇雄县罗坎镇、以勒镇、乌峰镇进行儿童氟斑牙检查和儿童尿氟测定及环境氟含量测定。结果 3个病区 8～ 12岁在校儿童氟斑牙检出率是 75 .3 %,氟斑牙指数为 1.79,其中乌峰、以勒、罗坎氟斑牙检出率分别为 86.9%,84.4%,5 1.9%;玉米和辣椒样品含氟量都超过国家卫生标准 ;儿童尿氟含量也普遍超过国家卫生标准。结论 镇雄县地方性氟中毒范围广、病情重 ,改炉改灶进程慢而且范围局限 ,地氟病防治任重而道远
Objective To understand the actual situation of endemic fluorosis in Yunnan Province and provide the basis for the prevention and treatment strategies. Methods In 2002, Luokang Town, Zhenxiong County, Yunnan Province was selected for the examination of children dental fluorosis and urinary fluoride in children and fluorine content in environment in Yile and Wufeng townships. Results The detection rate of dental fluorosis in children aged 8-12 years was 75.3% in three wards and 1.79 in dental fluorosis group, of which the detection rates of Wufeng, Yile and Rocan fluorosis were 86.9% , 84.4% and 5 1.9% respectively. The fluoride content of corn and pepper samples exceeded the national health standards. Urinary fluoride content in children also generally exceeded the national health standards. Conclusion Zhenxiong County, a wide range of endemic fluorosis, severe illness, slow furnace and the scope of the furnace to change the scope of prevention and treatment of ground fluorosis long way to go