【摘要】 目的掌握2003年全国大骨节病病情及其动态。方法在各病区省、自治区各选1～2个大骨节病病情严重的病区(点),每个点拍照100名7~12岁儿童右手X线片,按GB级诊断标准,集体读片确诊病例,统计检出率。结果东部8省、市X线检出率:黑龙江4.17%、3.77%,吉林2.76%、2.11%,山西0.51%、0,山东2.69%,河南、河北、辽宁、北京X线检出率均为0;西部6省、区12个监测点中有半数检出率超过10%,最高的达到32.93%(青海)。结论全国大骨节病病情(检出率)高点下移,平均检出率有所下降,低点变化不明显。西部病区病情严重,问题突出,应结合西部大开发之大势,进一步抓好“种树种草、以粮代赈”、搬迁等切实有效防治措施的落实。更多还原

【Abstract】 Objective To monitor Kaschin-Beck disease (KBD) prevalence rate and its temporal and spatial trends in the whole country in 2003. Methods A couple of severe endemic points were selected from each endemic province, and 100 children aged 7～12 years were tested with X-ray in each point, all radiographs were collected and read by a specialist group to diagnosis the cases and count KBD prevalence rates. Results In the east part of endemic region, the X-ray detective rate were: Heilongjiang 4.17% and 3.77%, Jilin 2.76% and 2.11%, Shanxi 0.51% and 0%, Shandong 2.69% and all others were 0 (Hebei, Henan, Liaoning and Beijing). In the west part, the detective rates were more than 10% in 6 of 12 points, among which the highest was 32.93% (Qinghai). Conclusions Compared with 2002, the highest value decreases and the average level become lower for KBD prevalence rate in our country, but the lowest value is not significantly changed. The state of KBD is severe in the west part, so the focal point in the KBD prevention must be sited on the west part and connecting it tightly with the great developing program in west part of our country.更多还原