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[目的]了解厦门市翔安区地方性氟中毒(地氟病)流行现状,为防治工作提供依据。[方法]调查翔安区原地氟病区改水降氟工程运转使用情况、8～12岁儿童氟斑牙和成人氟骨症患病情况,检测饮水氟、8～12岁儿童和翔安区成人尿氟含量。[结果]3个病区村改水降氟工程运转正常,水氟含量合格;8～12岁儿童氟斑牙患病率为23.1%(但下辽村为33.3%),氟斑牙指数为0.51;儿童尿氟几何均数0.65 mg/L;成人尿氟几何均数为1.36 mg/L,未检出氟骨症患者。[结论]翔安区改水降氟取得明显成效,总体保持在基本控制标准内,但仍有高氟摄入的现象存在,应进一步加大防治力度。
[Objective] To understand the prevalence of endemic fluorosis (DXF) in Xiang’an District of Xiamen City and provide basis for prevention and treatment. [Methods] Investigate the operation and usage of water and fluoride removal project in original endemic fluorosis area in Xiang’an District, the prevalence of dental fluorosis and adult skeletal fluorosis in children aged 8 ~ 12 years old, fluorine in drinking water, children aged 8 ~ 12 and Xiang’an District adult urinary fluoride content. [Results] The water-fluoride-reducing project in the three ward villages was in normal operation and the fluoride content in the water was qualified. The prevalence of dental fluorosis in children aged 8-12 was 23.1% (33.3% in Xialiao Village), and the dental fluorosis index was 0.51, children with urinary fluoride geometric mean 0.65 mg / L; adult urine fluoride geometric mean 1.36 mg / L, skeletal fluorosis patients were not detected. [Conclusion] The significant effect of water and fluoride removal in Xiang’an District has been achieved. Generally, it remains within the basic control standards, but there is still the phenomenon of high fluoride intake. Therefore, the intensity of prevention and control should be further strengthened.