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[目的]掌握西安大骨节病流行及防治现状,评估防治效果,指导防治工作。[方法]对病区7～12岁儿童进行临床及X线检查,对成人进行大骨节病临床检查;对病区硒盐公司和居民用户硒盐质量进行监测。[结果]儿童大骨节病新发病例减少,监测点X线检出率符合国家控制标准;硒盐质量合格率逐年上升。[结论]通过多年综合防治,病情有所下降,但防治措施的运作仍存在许多问题,今后应加强病区群众健康教育,把成人大骨节病的研究、治疗列为重点。
[Objective] To master the epidemic and prevention and cure status of Kashin-Beck disease in Xi’an, evaluate the effect of prevention and cure and guide the prevention and cure. [Methods] Clinical and X-ray examination was performed on children aged 7-12 years old in the ward and clinical examination of Kashin-Beck disease was conducted in adults. The quality of selenium salt in selenium salt companies and resident users in ward was monitored. [Results] The incidence of Kashin-Beck disease in children decreased and the detection rate of X-ray at the monitoring point conformed to the national control standard. The passing rate of selenium salt increased year by year. [Conclusion] After years of comprehensive prevention and treatment, the condition has declined. However, there are still many problems in the operation of prevention and treatment measures. In the future, we should strengthen the public health education in ward and focus on the research and treatment of adult Kashin-Beck disease.