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目的了解掌握成人大骨节病流行现状,为开展成人大骨节病的二、三级预防提供理论依据。方法根据以往历史病情资料,在崆峒区、灵台县、崇信县、华亭县4县(区)按轻、中、重病区各抽取1个村,每县3个村,共选取12个村做为调查点。对每个调查村16岁以上人群做临床调查。结果临床Ⅰ度以上患者检出858人,检出率17.75%,其中Ⅰ度、Ⅱ度、Ⅲ度检出率分别为12.10%、4.32%、1.32%,检出率>30%的2个村,占16.67%,检出率在20%~30%之间的5个村,占41.67%,检出率在10%~20%之间的3个村,占25.00%,检出率<10%的2个村,占16.61%。患者主要分布在36岁以上年龄组,占检出患者的94.41%,检出率和病情程度随年龄增加而增高。结论成人大骨节病Ⅰ度以上患者检出率17.75%,总体属中病区水平。
Objective To understand the prevalence of adult KBD and to provide a theoretical basis for secondary and tertiary prevention of adult KBD. Methods A total of 1 village, 3 villages per county were selected in 4 counties (districts) of Baobe District, Lingtai County, Chongxin County and Huating County according to the historical data of past illness. A total of 12 villages were selected As a survey point. For each surveyed village over the age of 16 people do clinical investigation. Results There were 858 patients with grade Ⅰ or higher, the detection rate was 17.75%. The detection rates of grade Ⅰ, Ⅱ and Ⅲ were 12.10%, 4.32% and 1.32%, respectively. The detection rate was> 30% , Accounting for 16.67%. The five villages with the detection rate between 20% and 30% accounted for 41.67% and the detection rate was between 10% and 20%, accounting for 25.00%. The detection rate was <10 % Of 2 villages, accounting for 16.61%. Patients were mainly distributed in the age group over 36 years old, accounting for 94.41% of patients detected, the detection rate and severity increased with age. Conclusion The prevalence of KBD patients in adults is 17.75%, which is generally higher than that in the wards.