摘要
目的汇总分析全国大骨节病重点监测结果,为国家和政府制定防治大骨节病策略提供科学依据。方法数据来源于1990～2007年全国大骨节病病情监测结果,将相应的数据合计,计算算术均数,然后进行省区之间的横向比较,说明全国最重病区的分布和严重程度,绘制流行严重程度和活跃程度曲线,进行长期趋势的判定和描述,分析全国宏观病情,预测未来流行趋势。结果中国大骨节病病情监测分为两个阶段。第一阶段为定点监测,监测结果可概括为4种情况:(1)开始时检出率在10%以下,观测期间基本未见波动,稳定在2%～3%;(2)开始时检出率在10%～30%的病区,在稍有波动中一路下降,到1996年即稳定在10%以下,达到基本控制的水平;(3)开始时检出率>30%的病区监测之初相当严重;这一类的病情在监测中陡然下降,直到1997年达到20%以下或更低;(4)青海省病区是中国大骨节病病区中的一个特例,X线检出率与干骺端检出率都在一个水平上,没有明显变化。第二阶段为动点监测,监测结果仍可概括为4种情况:(1)监测开始时检出率在10%以下的病区没有变化,仍然保持在控制水平。(2)监测开始时的中、重病区,如甘肃、陕西、内蒙、黑龙江在一路下迭中达到了控制水平。(3)90年代末的中国重病区青海和2000年新增加的西藏病区,也在2005年由重病区变为中等病区。(4)全国大骨节病X线检出率区间分布,控制病区由31.25%增加到82.61%、轻病区由18.75%下降到8.70%、中等病区由6.25%下降到4.35%、重病区由43.75%下降到4.35%,这说明中国的大骨节病的流行状况已经被遏制。结论中国的大骨节病在一段时间内应是以散发为主,2020年以后中国应该能够全面控制乃至消除大骨节病。
Objective To collect and analyze the surveillance results of Kaschin-Beck disease（KBD） from the key disease areas all over the country in order to provide scientific basis for the national government to make prevention and control strategies of KBD.Methods The data came from the surveillance results of national KBD during 1990~2007.The corresponding data were added up,then the arithmetic mean was calculated and compared among the different provinces so as to disclose the distribution and severity of the most serious disease areas.The curves on severity and activity of prevalence were plotted and the long term trend was described.After that,the national macroscopic disease conditions were analyzed and the future prevalence trend was predicted.Results KBD surveillance in China is divided into two stages and the first stage for the sentinel surveillance,monitoring results can be summarized into 4 cases：（1）the beginning of the detection rate of 10 % or less,the basic observation period of no fluctuations,stable at 2 %~3 %;（2）the beginning of the detection rate of 10 % to 30 % of the ward,in a slight fluctuation in all the way down 1996 is stable at 10 % or less,to the level of basic control;（3）the beginning of the detection rate30 % of the ward to monitor the beginning of the very serious;this type of condition monitoring in sharp decline until 1997 to reach 20 % or less or lower;（4）endemic area in Qinghai Province in China in the KBD endemic area is a special case,X-ray detection rate and detection rate in a metaphyseal level,did not change significantly.The second stage is fixed point monitoring,monitoring results can be summarized as four kinds of cases：（1）when monitoring began in the 10 % detection rate in the ward did not change,remain at control levels.（2）monitoring at the beginning,the serious illness areas,such as Gansu,Shaanxi,Inner Mongolia and Heilongjiang in the way again and again to achieve the next level of control.（3）90 seriously ill in China late area of Qinghai an
出处
《中国地方病防治》
CAS
2011年第4期259-264,共6页
Chinese Journal of Control of Endemic Diseases
关键词
大骨节病
监测
流行趋势
Kaschin-Beck disease
Surveillance
Prevalence trend
