摘要
目的了解2008年江苏省淮安市沿淮河和洪泽湖周边地区高砷水源分布和地方性砷中毒（简称地砷病）病情。方法根据历史资料，收集淮安市盱眙、金湖、洪泽3个县6个乡（镇）18个村的水样检测水砷．在水砷≥0．05mg／L的村，进行地砷病病情凋查，根据《地方性砷中毒诊断标准》进行地砷病诊断。结果共检测5199份水样，盱眙、金湖、洪泽3个县共有260份水样的水砷超过国家标准（0．05mg／L），水砷超标率分别为5．6％（247／4454）、0．7％（4／597）、6．O％（9／148）。地砷病患者总检出率为5．94％（128／2155），16～、20。、30～、40～、50～、60～、70～、80～岁的地砷病检出率分别为2．86％（1／35）、2．iI％（2／95）、1．26％（3／239）、3．10％（16／516）、5．53％（32／579）、10．07％（41／407）、11．84％（27／228）、10．71％（6／56）。男性的检出率[9．10％（78／857）]高于女性[3．85％（50／1298），x2=25．46，P〈0．01]。结论淮安市沿淮河和洪泽湖周边地区的盱眙、金湖和洪泽县存在地砷病病区，建议加强地砷病的防治工作。
Objective To explore the distribution of water with high level arsenic and prevalence of arsenism along Huai＇he River and the surrounding area of Hong＇ze lake in Huai＇an of Jiangsu. Methods Water samples were collected and tested in 2008 from 18 villages of 6 towns according to history data in 3 counties like Xuyi, Jinhu and Hongze. Samples having arsenic level higher than 0.05 mg/L were investigated by epidemiological method and the patients were diagnosed by Standard of Diagnosis for Endemic Arsenism. Results All 5199 water samples were determined, and 260 water samples were exceeding the national drinking water quality level （0.05 mg/L） in 3 counties, the rates of exceeding diagnosis were 5.6%（247/4454）, 0.7%（4/597）, 6.0%（9/148） respectively. Total detected rate of endemic arsenic disease was 5.94% （128/2155）. The detected rates of age group of 0-, 20 -, 30 - ,40 -, 50 -, 60 - ,70 -, 80 -were 2.86% （1/35）, 2.11% （2/95）, 1.26% （3/239）, 3.10% （16/516）, 5.53% （32/579）, 10.07%（41/407）, 11.84%（27/228）, 10.71%（6/56） respeetively. The detected rate of male （9.10%, 78/857） was higher than that of female（3.85%,50/1298, X2=25.46, P 〈 0.01）. Conelusions Huai＇he River and the surrounding areas of Hong＇ze lake like Xuyi, Jinhu and Hongze are identified existing endemic arsenic disease area. The prevention of arsenism should be strengthened in these areas.
出处
《中国地方病学杂志》
CAS
CSCD
北大核心
2010年第1期74-76,共3页
Chinese Jouranl of Endemiology
基金
基金项目：江苏省卫生厅课题（X200723）
江苏省淮安市科技局课题（HAS07048）志谢本次调查由江苏省、盱眙、金湖和洪泽县疾病预防控制中心诸多专业人员共同参与完成,在此表示衷心感谢
关键词
饮水
砷中毒
流行病学
Drinking
Arsenic poisoning
Epidemiology
