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目的了解四川省儿童大骨节病病情现状及防治措施落实情况,为评价防治效果、调整防治措施提供科学依据。方法根据四川省各大骨节病病区县的历史病情状况,在25个县299个村开展儿童大骨节病病情监测,收集各村自然环境和社会经济等基础资料,采用临床和X线拍片的方法,调查四川省儿童大骨节病病情现状及相关防治措施落实情况。结果临床检查7~12岁儿童8 944人,未检出Ⅰ度及以上大骨节病病例;拍摄儿童右手X线片8 944张,检出阳性片5张,平均阳性检出率0.06%,病情活跃程度平均指数0.06,病情严重程度平均指数0.06。结论四川省儿童大骨节病病情处于极低水平,病区村病情保持稳定控制状态,但仍存在致病因子,需继续加强对大骨节病的监测。
Objective To understand the status quo of children’s Kashin-Beck disease in Sichuan Province and the implementation of prevention and treatment measures, so as to provide a scientific basis for evaluating prevention and control measures and adjusting prevention and control measures. Methods According to the history and the condition of the various KBD cases in Sichuan Province, KBD was monitored in 299 villages of 25 counties and the basic data of natural environment, socio-economy of each village were collected. The clinical and X-ray films Methods To investigate the status quo of children’s Kashin-Beck disease in Sichuan Province and the implementation of relevant prevention and treatment measures. Results A total of 8 944 children aged 7-12 years were examined. Eighty-four cases of children with first degree or more of Kashin-Beck disease were not detected. Eight 944 X-ray films were obtained from children and 5 positive samples were detected. The average positive detection rate was 0.06% The average activity index was 0.06, and the average severity index was 0.06. Conclusion The prevalence of Kashin-Beck disease in children is very low in Sichuan Province. The condition of the patients in the ward remains stable and controlled. However, pathogenic factors still exist and the monitoring of Kashin-Beck disease should be strengthened.