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Surveillance analysis of drinking water borne fluorosis in Tibet autonomous region in 2009 2009年西藏自治区饮用水氟中毒监测分析
Q3 Medicine Pub Date : 2011-03-20 DOI: 10.3760/CMA.J.ISSN.1000-4955.2011.02.024
He Feng-zhen, Guoping Min, Danzengsangbu, Nimacangjue, Baimayangjin
Objective To find out the dynamics of drinking water borne endemic fluorosis in Tibet's, to evaluate the effect of control measures, and to provide a scientific basis for the timely adjustment of control strategies. Methods During september to october 2009, according to the "2008 Central Government Special Funds to Subsidize Local Public Health in Drinking Water Borne Fluorosis in Tibet", Xigaze Xietongmen and Nyingchi Zayu were selected as project counties, three project villages were selected with simple random sampling method in each county, the functioning of water improvement projects, drinking water fluoride content, children's dental fluorosis and adult skeletal fluorosis were investigated. Water fluoride was detected by the "standard examination methods for drinking water the non-metallic targets"(GB/T 5750.6-2006) determination of fluoride; urinary fluoride was tested by ion selective electrode (WS/T 89-1996); dental fluorosis was diagnosed using Deans method; adult skeletal fluorosis was diagnosed by "endemic skeletal fluorosis clinical diagnostic criteria" (WS 192-2008). Results Mean water fluoride was 0.18 - 0.34 mg/L in drinking water changed areas, and 0.70 - 2.13 mg/L in not changed areas; prevalence of dental fluorosis of children 8 - 10 was 50.78% (65/128), dental fluorosis index was 1.04,mean urinary fluoride was 1.64 mg/L in drinking water changed areas; prevalence of dental fluorosis of children 8 -10 years old was 80.65%(25/31 ) in not changed areas, dental fluorosis index was 1.50, mean urinary fluoride of children was 2.08; adult clinical skeletal fluorosis was 38.7%(104/269) in drinking water changed areas, the mean urinary fluoride was 1.61 mg/L, prevalence of skeletal fluorosis was 15.4% (18/117) in not changed areas, mean urinary fluoride was 3.54 mg/L. Conclusions The method of change the water to reduce fluoride decreases dental fluorosis to control levels, and severity is also reduced, urinary fluoride is decreased. However, the prevalence of skeletal fluorosis is higher than that of drinking water not changed areas. Key words: Fluoride poisoning;  Change the water;  Data collection
目的了解西藏饮水地方性氟中毒动态,评价各项防治措施的效果,为及时调整防治策略提供科学依据。方法2009年9 - 10月,根据《2008年西藏饮水性氟中毒地方公共卫生专项资金》,选择日喀则谢通门和林芝扎玉为项目县,采用简单随机抽样法,在每个县选择3个项目村,对改水工程的运行情况、饮用水氟化物含量、儿童氟牙症和成人氟骨症进行调查。水中氟化物的检测采用《饮用水非金属指标检验方法》(GB/T 5750.6-2006)中氟化物的测定;用离子选择电极检测尿氟化物(WS/T 89-1996);采用Deans法诊断氟牙症;成人氟骨症的诊断依据“地方性氟骨症临床诊断标准”(WS 192-2008)。结果饮用水改变区平均水氟含量为0.18 ~ 0.34 mg/L,未改变区平均水氟含量为0.70 ~ 2.13 mg/L;8 ~ 10岁儿童氟斑牙患病率为50.78%(65/128),氟斑牙指数为1.04,饮水改变区尿氟平均为1.64 mg/L;未变地区8 ~ 10岁儿童氟斑牙患病率为80.65%(25/31),氟斑牙指数为1.50,儿童尿氟平均为2.08;饮用水改变地区成人临床氟骨症患病率为38.7%(104/269),尿氟平均为1.61 mg/L,未改变地区氟骨症患病率为15.4%(18/117),尿氟平均为3.54 mg/L。结论换水降氟法可使氟牙症达到控制水平,且严重程度降低,尿氟含量降低。然而,氟骨症的患病率高于未改变饮用水的地区。关键词:氟化物中毒;换水;数据收集
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引用次数: 0
The effect of iodine excess on bone metabolism in experimental autoimmune thyroiditis rats 碘过量对实验性自身免疫性甲状腺炎大鼠骨代谢的影响
Q3 Medicine Pub Date : 2011-03-20 DOI: 10.3760/CMA.J.ISSN.1000-4955.2011.02.002
Z. Xin, Chen Ke-jun, Sang Zhongna, Zhao Na, Zhang Jin-xiang, Yao Zhai-xiao, Zhang Wan-qi, Ma Xin-long
Objective To explore the effect of iodine excess on bone metabolism in experimental autoimmune thyroiditis (EAT) rats. Methods We selected 36 female Lewis rats with body weight of (131 ± 15)g,and divided them into 3 groups randomly: control group, EAT group and EAT + high iodine group, assuring 12 rats in every group. These rats were fed fodder with different concentration of iodine(0.9,0.9, 18.0 mg/kg), and rats in EAT group and EAT + high iodine group were immunized with pig thyroglobulin(pTG) and complete Freund's adjuvant(CFA) to create EAT model. After two weeks, the pathological changes of the thyroid tissues were observed,and the serum thyroid autoantibody[thyroglobulin antibody(TGAb) and thyroid microsomal antibody(TMAb)], the thyroid hormone levels[triiodo thyronine(T3) and thyrine(T4)] and some relevant data of bone metabolism[bone gla protein (BGP), tartrate-resistant acid phosphatase (TRAP), C-terminal propeptide of type Ⅰ procollagen (PICP),C-terminal telopeptide of type Ⅰ collagen (ICTP), insulin-like growth factor- 1 ( IGF- 1 ), osteoprotegerin (OPG) and receptor activator of NF-κB ligand (RANKL)] were measured. Results Inflammatory cell infiltration and local follicular structural damage were observed in the thyroid tissues of EAT rats in EAT group and EAT + high iodine group, and the pathological changes of EAT + high iodine group were mainly thyroid follicular expansion and integration. The level of serum TGAb, TMAb, T3 and T4 of EAT rats in EAT group and EAT + high iodine group[ (63.01 ± 12.36)%, (60.62 ± 11.24)%, (3.78 ± 1.43), (125.12 ± 16.00)pmol/L and (75.00 ± 15.44)%,(72.15 ± 15.00)%, (3.69 ± 0.91 ), (149.40 ± 20.67)pmol/L] were higher than those of the control group[ (4.47 ±1.04)%, (5.73 ± 1.01 )%, (0.75 ± 0.12), (76.91 ± 9.30)pmol/L, all P < 0.05], and the level of serum TGAb,TMAb and T4 of EAT rats in EAT + high iodine group were higher than those of the EAT group(all P < 0.05).The level of serum BGP, PICP and IGF- 1 in EAT group[ ( 1.70 ± 0.31 ), ( 11.31 ± 1.52) μg/L, (0.31 ± 0.06 ) mg/L]were lower than those of the control group[ (8.60 ± 0.33), (14.28 ± 3.10)μg/L, (1.16 ± 0.02)mg/L, all P <0.05], and the level of serum TRAP, ICTP, OPG and RANKL[ ( 19.88 ± 3.60)ng/L, (2.43 ± 0.82), (22.36 ± 2.80),( 1.35 ± 0.23 )μg/L] were higher than those of the control group[ ( 14.57 ± 3.56)ng/L, (0.50 ± 0.20), (1.61 ± 0.34),(0.10 ± 0.02)μg/L, all P < 0.05]; compared with EAT group, the level of PCIP and OPG in EAT + high iodine group [ (8.03 ± 1.84), ( 16.80 ± 3.79)μg/L] were obviously decreased(all P < 0.05). Conclusions The reinforcement of differentiation and maturation of osteoblast in the EAT rats results in the increasing of bone resorption. The activity of osteoblast and osteoclast of the EAT rats are inhibited by excessive iodine, showing a low conversion-type osteoporosis. Key words: Iodine;  Thyroiditis, autoimmune;  Bone metabolism;  Osteoblasts;  Osteoclasts
目的探讨碘过量对实验性自身免疫性甲状腺炎(EAT)大鼠骨代谢的影响。方法选取体重为(131±15)g的雌性Lewis大鼠36只,随机分为对照组、EAT组和EAT +高碘组,每组12只。分别饲喂不同浓度碘(0.9、0.9、18.0 mg/kg)的饲料,EAT组和EAT +高碘组分别免疫猪甲状腺球蛋白(pTG)和完全弗氏佐剂(CFA),建立EAT模型。两周后观察甲状腺组织病理变化,血清甲状腺自身抗体[甲状腺球蛋白抗体(TGAb)和甲状腺微粒体抗体(TMAb)]、甲状腺激素水平[三碘甲状腺原氨酸(T3)和甲状腺素(T4)]及骨代谢相关数据[骨玻璃蛋白(BGP)、抗酒石酸酸性磷酸酶(TRAP)、Ⅰ型前胶原c端前肽(PICP)、Ⅰ型胶原c端端肽(ICTP)、测定胰岛素样生长因子- 1 (IGF- 1)、骨保护素(OPG)和NF-κ b配体受体激活剂(RANKL)。结果EAT组和EAT +高碘组大鼠甲状腺组织均可见炎性细胞浸润和局部滤泡结构损伤,EAT +高碘组的病理变化主要为甲状腺滤泡扩张和整合。EAT组和EAT +高碘组大鼠血清TGAb、TMAb、T3、T4水平[(63.01±12.36)%、(60.62±11.24)%、(3.78±1.43)、(125.12±16.00)pmol/L和(75.00±15.44)%、(72.15±15.00)%、(3.69±0.91)、(149.40±20.67)pmol/L]均高于对照组[(4.47±1.04)%、(5.73±1.01)%、(0.75±0.12)、(76.91±9.30)pmol/L,均P < 0.05];EAT +高碘组大鼠血清TGAb、TMAb、T4水平均高于EAT组(均P < 0.05)。血清水平边界网关协议,PICP和IGF - 1在吃组[(1.70±0.31),(11.31±1.52)μg / L,(0.31±0.06)mg / L)低于对照组((8.60±0.33),(14.28±3.10)μg / L,(1.16±0.02)mg / L,所有P < 0.05),血清水平的陷阱,ICTP,功能和RANKL (ng / L(19.88±3.60),(2.43±0.82),(22.36±2.80),(1.35±0.23)μg / L)高于对照组(ng / L(14.57±3.56),(0.50±0.20),(1.61±0.34),(0.10±0.02)μg / L,所有P < 0.05);与EAT组比较,EAT +高碘组PCIP、OPG水平[(8.03±1.84)、(16.80±3.79)μg/L]明显降低(均P < 0.05)。结论EAT大鼠成骨细胞分化和成熟的增强导致骨吸收的增加。过量碘抑制EAT大鼠成骨细胞和破骨细胞活性,表现为低转化型骨质疏松。关键词:碘;自身免疫性甲状腺炎;骨代谢;成骨细胞;破骨细胞
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引用次数: 0
Evaluation of the effectiveness of health education on iodine deficiency disorders in Hebei province in 2009 2009年河北省碘缺乏症健康教育效果评价
Q3 Medicine Pub Date : 2011-03-20 DOI: 10.3760/CMA.J.ISSN.1000-4955.2011.02.032
Chong Zhen-shui, M. Jing, Jia Li-hui, L. Sheng-min, Du Yong-gui, Ma Dong-rui, Zhao Jun, Xu Dong, Zhang Jin-qi, Fan Cui-ping, Yao Guang-jun
Objective To evaluate the effectiveness of health education on iodine deficiency disorders (IDD) in Hebei, and to provide basic information for development of control strategies. Methods A total of 34 project counties were selected in Hebei province, and 3 townships were chosen in each project county. Heath educational activities were carried out in the classes of grade 5 in the central primary school of each selected township. In the meantime, 3 villages were chosen in each selected township where the health education for women of childbearing age in the community was carried out. Sureys on knowledge of IDD control were conducted in the 34 project counties before and after the health educational activities. Results The knowing rates of IDD control among pupils in all 34 project counties increased from 71.10%(7835/11 019) to 94.84%(10 840/11 430) after health education, with a average increase of 23.74%. The knowing rates of IDD control among housewives increased from 77.02%(4531/5883) to 95.32%(5902/6192), with a average increase of 18.30%. Of which, the knowing rates of IDD control among pupils in Hengshui city increased from 55.56% (750/1350) to 94.89% (1281/1350),with a average increase of 39.33%. The knowing rates of IDD control among housewives in Handan city increased from 65.68%(532/810) to 96.50%(909/942), with a average increase of 30.82%. Conclusions The knowing rates of IDD control among pupils and housewives are remarkably increased after implementing the health education projects. They have better life and health habits, and the project achieves desired effect. Key words: Iodine;  Deficiency diseases;  Goiter, endemic;  Health education
目的评价河北省碘缺乏症(IDD)健康教育的效果,为制定防治策略提供依据。方法选取河北省34个项目县,每个项目县选取3个乡镇。在各选定乡镇中心小学五年级班级开展健康教育活动。同时,在每个选定的乡镇选择3个村,对社区育龄妇女进行健康教育。对34个项目县开展健康教育活动前后的IDD防治知识情况进行调查。结果经健康教育后,34个项目县小学生IDD防治知识知知率由71.10%(7835/11 019)上升至94.84%(10 840/11 430),平均上升23.74%。家庭主妇IDD防治知识知晓率由77.02%(4531/5883)上升至95.32%(5902/6192),平均上升18.30%。其中,衡水市小学生IDD防治知晓率由55.56%(750/1350)上升至94.89%(1281/1350),平均上升39.33%。邯郸市家庭主妇IDD防治知识知晓率由65.68%(532/810)上升至96.50%(909/942),平均上升30.82%。结论实施健康教育项目后,小学生和家庭主妇的IDD防治知晓率明显提高。他们有更好的生活和健康习惯,项目达到了预期效果。关键词:碘;缺乏疾病;地方性甲状腺肿;健康教育
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引用次数: 0
Effective evaluation of brucellosis related risk behaviors of occupation groups and the effect of health education 职业人群布鲁氏菌病相关危险行为的有效评价及健康教育效果
Q3 Medicine Pub Date : 2011-03-20 DOI: 10.3760/CMA.J.ISSN.1000-4955.2011.02.029
Chen Dan, Liu Xiao-lin
Objective To find out demography characteristic and risk behaviors of occupation groups and to evaluate the effect of health education. Methods A baseline survey was conducted among occupation groups in the western part of Liaoning province by stratified random cluster sampling. Health education started to intervene in occupation groups in Linghai city of Liaoning province. An investigation of brucellosis related behaviors was carried out before and after a health education among occupation groups. Other occupational groups were as the control group. The research on high-risk behaviors of occupation groups was in the following eight aspects: protection taken when contact with abortion livestock, timely slaughter and burying deeply of sick animals, not selling sick animals do not eat dead meat, nor drink raw milk, do not eat raw meat, and immunity of livestock. Results Before the intervention, a total of 916 objects, of which intervention group 499 and control group 417 were investigated. The high-risk behaviors of brucellosis were not significantly different between the two groups[70.9% (354/499), 64.3%(321/499 ), 53.8% (268/499), 92.2% (460/499), 82.2% (410/499 ), 87.5% (437/499), 93.6% (467/499), 56.2%(280/499) in intervention group, 68.8% (287/417), 59.2% (247/417 ), 54.7% (228/417), 89.2% (372/417 ), 85.6%(360/417) ,885%(369/417),94.0%(392/417),55.9%(233/417) in control group, all P > 0.05]. After the intervention,a total of 908 survey objects, of which intervention group 499 and control group 409, were investigated. The above eight aspects of high-risk behaviors in the intervention group were 85.4% (426/499),79.0% (394/499),69.9%(349/499),96.4%(481/499),943%(471/499),94.9%(474/499),94.0%(469/499), 99.4%(496/499), respectively; in the control 66.8% (273/409),57.3% (234/409),50.1% (205/409),85.3% (349/409),88.8% (363/409),89.5%(366/409) ,90.1% (369/409), and 57.2% (234/409), respectively. Between the two groups, the difference was statistically significant (x2 = 43.991,49.833,37.111,35.032,9.537,9.826,4.485,253.808, all P < 0.05 ). The above seven aspects of high-risk behaviors except do not eat raw dairy at the beginning of intervention were compared with those of after the intervention, the differences were statistically significant (x2 = 30.426,26.284,27.854,7.364,36.027,17.238,9270.286, all P < 0.05). Conclusions Health education intervention can significantly improve the behavior change rate of occupational groups at high risk of brucellosis, and the education intervention is worthwhile to communicate and promote. Key words: Brucellosis;  Occupational groups;  Behavior;  Investigation
目的了解职业人群的人口学特征和危险行为,评价健康教育的效果。方法采用分层整群抽样的方法,对辽西地区职业人群进行基线调查。在辽宁省凌海市职业群体中开展健康教育干预。对职业人群进行健康教育前后的布鲁氏菌病相关行为进行调查。其他职业组为对照组。职业人群高危行为研究主要集中在接触流产牲畜时采取的保护措施、病畜及时宰杀深埋、不出售病畜、不吃死肉、不喝生奶、不吃生肉、牲畜免疫力等8个方面。结果干预前共调查对象916人,其中干预组499人,对照组417人。两组患者布鲁氏菌病高危行为差异无统计学意义[干预组70.9%(354/499)、64.3%(321/499)、53.8%(268/499)、92.2%(460/499)、82.2%(410/499)、87.5%(437/499)、93.6%(467/499)、56.2%(280/499),对照组68.8%(287/417)、59.2%(247/417)、54.7%(228/417)、89.2%(372/417)、85.6%(360/417)、885%(369/417)、94.0%(392/417)、55.9%(233/417),均P > 0.05]。干预后共调查对象908人,其中干预组499人,对照组409人。干预组以上8方面高危行为分别为85.4%(426/499)、79.0%(394/499)、69.9%(349/499)、96.4%(481/499)、943%(471/499)、94.9%(474/499)、94.0%(469/499)、99.4%(496/499);在控制了66.8%(273/409),57.3%(234/409),50.1%(205/409),85.3%(349/409),88.8%(363/409),89.5%(366/409),90.1%(369/409),57.2%(234/409),分别。两组间差异有统计学意义(x2 = 43.991、49.833、37.111、35.032、9.537、9.826、4.485,253.808,P均< 0.05)。除干预开始时不吃生乳制品外,上述7个方面的高危行为与干预后比较,差异均有统计学意义(x2 = 30.426、26.284、27.854、7.364、36.027、17.238、9270.286,均P < 0.05)。结论健康教育干预可显著提高布鲁氏菌病高危职业人群的行为改变率,教育干预值得推广和推广。关键词:布鲁氏菌病;职业团体;行为;调查
{"title":"Effective evaluation of brucellosis related risk behaviors of occupation groups and the effect of health education","authors":"Chen Dan, Liu Xiao-lin","doi":"10.3760/CMA.J.ISSN.1000-4955.2011.02.029","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-4955.2011.02.029","url":null,"abstract":"Objective To find out demography characteristic and risk behaviors of occupation groups and to evaluate the effect of health education. Methods A baseline survey was conducted among occupation groups in the western part of Liaoning province by stratified random cluster sampling. Health education started to intervene in occupation groups in Linghai city of Liaoning province. An investigation of brucellosis related behaviors was carried out before and after a health education among occupation groups. Other occupational groups were as the control group. The research on high-risk behaviors of occupation groups was in the following eight aspects: protection taken when contact with abortion livestock, timely slaughter and burying deeply of sick animals, not selling sick animals do not eat dead meat, nor drink raw milk, do not eat raw meat, and immunity of livestock. Results Before the intervention, a total of 916 objects, of which intervention group 499 and control group 417 were investigated. The high-risk behaviors of brucellosis were not significantly different between the two groups[70.9% (354/499), 64.3%(321/499 ), 53.8% (268/499), 92.2% (460/499), 82.2% (410/499 ), 87.5% (437/499), 93.6% (467/499), 56.2%(280/499) in intervention group, 68.8% (287/417), 59.2% (247/417 ), 54.7% (228/417), 89.2% (372/417 ), 85.6%(360/417) ,885%(369/417),94.0%(392/417),55.9%(233/417) in control group, all P > 0.05]. After the intervention,a total of 908 survey objects, of which intervention group 499 and control group 409, were investigated. The above eight aspects of high-risk behaviors in the intervention group were 85.4% (426/499),79.0% (394/499),69.9%(349/499),96.4%(481/499),943%(471/499),94.9%(474/499),94.0%(469/499), 99.4%(496/499), respectively; in the control 66.8% (273/409),57.3% (234/409),50.1% (205/409),85.3% (349/409),88.8% (363/409),89.5%(366/409) ,90.1% (369/409), and 57.2% (234/409), respectively. Between the two groups, the difference was statistically significant (x2 = 43.991,49.833,37.111,35.032,9.537,9.826,4.485,253.808, all P < 0.05 ). The above seven aspects of high-risk behaviors except do not eat raw dairy at the beginning of intervention were compared with those of after the intervention, the differences were statistically significant (x2 = 30.426,26.284,27.854,7.364,36.027,17.238,9270.286, all P < 0.05). Conclusions Health education intervention can significantly improve the behavior change rate of occupational groups at high risk of brucellosis, and the education intervention is worthwhile to communicate and promote. \u0000 \u0000Key words: \u0000Brucellosis;  Occupational groups;  Behavior;  Investigation","PeriodicalId":55880,"journal":{"name":"Chinese Journal of Endemiology","volume":"24 1","pages":"208-210"},"PeriodicalIF":0.0,"publicationDate":"2011-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78251682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Investigation and analysis of trace element levels in children with osteomalacia malformation from endemic fluorosis area in Shuicheng, Guizhou 贵州水城地方性氟中毒地区骨软化畸形儿童微量元素水平调查分析
Q3 Medicine Pub Date : 2011-03-20 DOI: 10.3760/CMA.J.ISSN.1000-4955.2011.02.025
Liang Fu-cheng, Q. Liang, Cong Xu-zi, Yong-ping Ying, Yan Shu-lin
Objective To investigate the levels of trace elements such as fluorine(F), and aluminium (Al)etc. of osteomalacia malformation children and to make etiological diagnosis in reference with clinical manifestations.Methods Urine and occipitalia hairs of 14 diseased children(patient group) from endemic fluorosis area and 13 healthy children(control group) from non-endemic area were included in the study on November, 2008, and contents of 10 elements of fluorine(F), aluminum(Al), chromium(Cr), manganese(Mn), ferrum(Fe), cuprum(Cu), zinc(Zn), arsenic (As), selenium(Se), strontium(Sr), and barium(Ba) were tested. The data were analyzed with medical soft package PEMS 3.1. Results Urinary contents of F, Al, Mn, Cu, Sr, and Se(1.18 mg/L, 112.6 μg/L,6.62,29.86 mg/L, 177.5,4.23 ng/L) in patient group were significantly different from those in control group (0.48,47.1,2.04,16.61 mg/L, 55.17,15.52 ng/L, t = 4.592,2.486,4.850,2.210 2.078,2.912, all P< 0.05); Hair contents of Al, Mn, As, Sr, Ba, Fe, and Se in patient group(59.27,5.26,0.96,1.50,1.29,297.13,0.45 mg/kg)were significantly different from those of control group( 18.69,0.72,1.09,0.62,0.68,69.02,1.323 mg/kg, t = 4.583,6.318,3.309,2.704,5.606,6.294, all P < 0.05); in patient group, the correlation coefficients of urinary Fe to Al,Zn, As, and Se were all bigger tan 0.662(all P< 0.05), those of urinary Se to Mn, Ba, Cu, Zn, Sr, and As were all bigger than 0.694(all P< 0.05), those among urinary Mn, Sr, As, and Ba were bigger than 0.550(all P<0.05), those of hair Al to Mn, Cr, Fe, and Cu were bigger than 0.732(all P< 0.05), those of hair Ba to Mn,Cr, Fe, and Sr, and of hair Mn to Cr and Fe, and those between Cr and As, between Cu and Sr were all bigger than 0.686 (all P < 0.05). In control group, the correlation coefficients of urinary Cu to Zn, Se, and Ba, those of Zn to Se and Ba, and those of Cr to Mn and Ba were all bigger than 0.516(all P < 0.05), those of hair Al to Mn,Fe, Cu, As, and Se, and those of hair Se to Fe, Cu, and As, those of hair Fe to Mn, Cu, and As, those of hair Cu to Zn and As, and that between Zn and As were bigger than 0.739(all P < 0.05). The correlation coefficient of urinary F to Se in patient group(0.762) was significantly different from that in control group( - 0.469, u = 2.079,P < 0.05). Conclusions The burden of F and Al of osteomalacia malformation children in endemic fluorosis area of Shuicheng county is too high. The contents of multi-elements in urine and hairs and their correlation are coincident with high levels of Al and F and they cause network increase of multi-element content changes and their correlation. According to bone X-ray features combining with the living environment, the diagnosis of endemic Al-F fluorosis can be made. The biological significance of reducing urinary and hair Se levels and the correlations of F and Al need to be further studied. Key words: Fluoride poisoning;  Aluminum compounds;  Selenium;  Osteomalacia;  Endemic diseases
目的了解人体微量元素氟(F)、铝(Al)等的含量。对小儿骨软化畸形,要结合临床表现做出病因诊断。方法于2008年11月选取地方性氟中毒病区14例患儿(患者组)和非地方性氟中毒病区13例健康儿童(对照组)的尿液和枕毛,检测氟(F)、铝(Al)、铬(Cr)、锰(Mn)、铁(Fe)、铜(Cu)、锌(Zn)、砷(As)、硒(Se)、锶(Sr)、钡(Ba)等10种元素的含量。采用医学软包PEMS 3.1对数据进行分析。结果患者组尿中F、Al、Mn、Cu、Sr、Se含量(1.18 mg/L、112.6 μg/L、6.62、29.86 mg/L、177.5、4.23 ng/L)与对照组(0.48、47.1、2.04、16.61 mg/L、55.17、15.52 ng/L, t = 4.592、2.486、4.850、2.210、2.078、2.912,P均< 0.05)差异有统计学意义;患者组头发Al、Mn、As、Sr、Ba、Fe、Se含量(59.27、5.26、0.96、1.50、1.29、297.13、0.45 mg/kg)与对照组(18.69、0.72、1.09、0.62、0.68、69.02、1.323 mg/kg, t = 4.583、6.318、3.309、2.704、5.606、6.294,均P < 0.05)差异有统计学意义;患者组中,相关系数尿铁铝,锌、,和Se都大谭0.662 (P < 0.05),尿的Se Mn,英航,铜、锌、锶、以及都大于0.694 (P < 0.05),尿中锰、Sr,,和英航都大于0.550 (P < 0.05),那些头发Al锰、铬、铁、铜和大于0.732 (P < 0.05),那些头发英航锰、铬、铁、Sr、头发锰铬和铁,和Cr之间,Cu和Sr之间均大于0.686(均P < 0.05)。在对照组中,相关系数的尿铜,锌、硒,英航,Se和英航的锌和铬锰和英航都大于0.516 (P < 0.05),那些头发Al锰、铁、铜、,,,和头发Se的铁、铜、和,的头发铁,锰,铜,以及,那些头发锌和铜,锌之间,当大于0.739 (P < 0.05)。患者组尿F与Se相关系数(0.762)与对照组(- 0.469,u = 2.079,P < 0.05)差异有统计学意义。结论水城县地方性氟中毒区骨软化畸形儿童氟、铝负荷过高。尿、毛中多元素含量及其相关性与高Al、F水平一致,导致多元素含量变化及其相关性呈网状增加。根据骨x线表现,结合生活环境,可诊断地方性氟铝中毒。降低尿硒和发硒水平的生物学意义以及F和Al的相关性有待进一步研究。关键词:氟化物中毒;铝化合物;硒;软骨病;地方病
{"title":"Investigation and analysis of trace element levels in children with osteomalacia malformation from endemic fluorosis area in Shuicheng, Guizhou","authors":"Liang Fu-cheng, Q. Liang, Cong Xu-zi, Yong-ping Ying, Yan Shu-lin","doi":"10.3760/CMA.J.ISSN.1000-4955.2011.02.025","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-4955.2011.02.025","url":null,"abstract":"Objective To investigate the levels of trace elements such as fluorine(F), and aluminium (Al)etc. of osteomalacia malformation children and to make etiological diagnosis in reference with clinical manifestations.Methods Urine and occipitalia hairs of 14 diseased children(patient group) from endemic fluorosis area and 13 healthy children(control group) from non-endemic area were included in the study on November, 2008, and contents of 10 elements of fluorine(F), aluminum(Al), chromium(Cr), manganese(Mn), ferrum(Fe), cuprum(Cu), zinc(Zn), arsenic (As), selenium(Se), strontium(Sr), and barium(Ba) were tested. The data were analyzed with medical soft package PEMS 3.1. Results Urinary contents of F, Al, Mn, Cu, Sr, and Se(1.18 mg/L, 112.6 μg/L,6.62,29.86 mg/L, 177.5,4.23 ng/L) in patient group were significantly different from those in control group (0.48,47.1,2.04,16.61 mg/L, 55.17,15.52 ng/L, t = 4.592,2.486,4.850,2.210 2.078,2.912, all P< 0.05); Hair contents of Al, Mn, As, Sr, Ba, Fe, and Se in patient group(59.27,5.26,0.96,1.50,1.29,297.13,0.45 mg/kg)were significantly different from those of control group( 18.69,0.72,1.09,0.62,0.68,69.02,1.323 mg/kg, t = 4.583,6.318,3.309,2.704,5.606,6.294, all P < 0.05); in patient group, the correlation coefficients of urinary Fe to Al,Zn, As, and Se were all bigger tan 0.662(all P< 0.05), those of urinary Se to Mn, Ba, Cu, Zn, Sr, and As were all bigger than 0.694(all P< 0.05), those among urinary Mn, Sr, As, and Ba were bigger than 0.550(all P<0.05), those of hair Al to Mn, Cr, Fe, and Cu were bigger than 0.732(all P< 0.05), those of hair Ba to Mn,Cr, Fe, and Sr, and of hair Mn to Cr and Fe, and those between Cr and As, between Cu and Sr were all bigger than 0.686 (all P < 0.05). In control group, the correlation coefficients of urinary Cu to Zn, Se, and Ba, those of Zn to Se and Ba, and those of Cr to Mn and Ba were all bigger than 0.516(all P < 0.05), those of hair Al to Mn,Fe, Cu, As, and Se, and those of hair Se to Fe, Cu, and As, those of hair Fe to Mn, Cu, and As, those of hair Cu to Zn and As, and that between Zn and As were bigger than 0.739(all P < 0.05). The correlation coefficient of urinary F to Se in patient group(0.762) was significantly different from that in control group( - 0.469, u = 2.079,P < 0.05). Conclusions The burden of F and Al of osteomalacia malformation children in endemic fluorosis area of Shuicheng county is too high. The contents of multi-elements in urine and hairs and their correlation are coincident with high levels of Al and F and they cause network increase of multi-element content changes and their correlation. According to bone X-ray features combining with the living environment, the diagnosis of endemic Al-F fluorosis can be made. The biological significance of reducing urinary and hair Se levels and the correlations of F and Al need to be further studied. \u0000 \u0000Key words: \u0000Fluoride poisoning;  Aluminum compounds;  Selenium;  Osteomalacia;  Endemic diseases","PeriodicalId":55880,"journal":{"name":"Chinese Journal of Endemiology","volume":"1 1","pages":"197-201"},"PeriodicalIF":0.0,"publicationDate":"2011-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78853778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analysis of human brucellosis surveillance in Weinan city of Shaanxi province in 2009 2009年陕西省渭南市人布鲁氏菌病监测结果分析
Q3 Medicine Pub Date : 2011-03-20 DOI: 10.3760/CMA.J.ISSN.1000-4955.2011.02.028
Li Guang-de, Hou Xing-you, Qian Hui-lan, Zhang Xingui, Z. Min, Guo Shi-hong
Objective To survey and analyze characteristics of brucellosis epidemic in Weinan city of Shaanxi province for the purpose of setting up prevention and control measures for the disease. Methods According to "The Executing Plan for the Work of Surveying Brucellosis Disease in Shaanxi Province", 35 villages(towns) of designated monitoring locations and 24 villages (towns) of randomized monitoring locations in five countries of Weinan were chosen to survey brucellosis disease. The five countries were Chengcheng, Dali, Heyang, Tongguan and Hancheng. High risk populations with a history of contacting livestock and livestock products aged between 7 and 60 underwent clinical and serology examination[rose bengal plate agglutination test(RBPT) and standard tube agglutination test(SAT)]. All manipulation methods and judging standards were in accord with the "Diagnostic Standard for Brucellosis" (WS 269-2007). Results In the designated monitoring location, a total of 8664 people at high risk were investigated, among whom 1407 people were tested by RBPT test and 27 people were positive,the positive rate was 1.92%(27/1407); 27 people were tested by SAT test and 27 people were positive, the positive rate was 100% (27/27); 25 people were diagnosed and the diagnosis rate was 92.59%(25/27). In the randomized monitoring location, a total of 3464 people at high risk were investigated, among whom 411 people were tested by RBPT test and 3 people were positive, the positive rate was 0.73%(3/411 ), 3 people were tested by SAT test which were all positive and made a definite diagnosis. Twenty-eight new cases were made a definite diagnosis and its incidence was 2.06 in a hundred thousand(28/1 361 618). Conclusions The infection of human brucellosis in Weinan city stays at higher level. The governments should increase input for the monitoring,investigating and disinfecting to prevent the disease from increasing and outspreading. Key words: Brucellosis;  Serologic tests;  Data collection D01:10.3760/cma.j.issn.1000-4955.2011.02.028
目的调查分析陕西省渭南市布鲁氏菌病流行特点,为制定布鲁氏菌病防控措施提供依据。方法根据《陕西省布鲁氏菌病调查工作实施方案》,选择渭南市5个国家的35个指定监测点村(镇)和24个随机监测点村(镇)进行布鲁氏菌病调查。这五个国家分别是城城、大理、河阳、潼关和汉城。对7 ~ 60岁有接触家畜和畜产品史的高危人群进行临床和血清学检查[玫瑰孟加拉板凝集试验(RBPT)和标准试管凝集试验(SAT)]。所有操作方法和判定标准均符合《布鲁氏菌病诊断标准》(WS 269-2007)。结果在指定监测点共调查高危人群8664人,其中RBPT检测1407人,阳性27人,阳性率为1.92%(27/1407);27人接受SAT测试,27人阳性,阳性率为100% (27/27);确诊25例,诊断率为92.59%(25/27)。随机监测地点共调查高危人群3464人,其中RBPT检测411人,阳性3人,阳性率0.73%(3/411),SAT检测3人,均阳性确诊。新发确诊病例28例,发病率2.06 / 10万(28/1 361 618)。结论渭南市人布鲁氏菌病感染处于较高水平。各国政府应加大对疫情监测、调查和消毒等方面的投入,防止疫情增加和蔓延。关键词:布鲁氏菌病;血清学测试;数据收集D01:10.3760/cma.j.issn.1000-4955.2011.02.028
{"title":"Analysis of human brucellosis surveillance in Weinan city of Shaanxi province in 2009","authors":"Li Guang-de, Hou Xing-you, Qian Hui-lan, Zhang Xingui, Z. Min, Guo Shi-hong","doi":"10.3760/CMA.J.ISSN.1000-4955.2011.02.028","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-4955.2011.02.028","url":null,"abstract":"Objective To survey and analyze characteristics of brucellosis epidemic in Weinan city of Shaanxi province for the purpose of setting up prevention and control measures for the disease. Methods According to \"The Executing Plan for the Work of Surveying Brucellosis Disease in Shaanxi Province\", 35 villages(towns) of designated monitoring locations and 24 villages (towns) of randomized monitoring locations in five countries of Weinan were chosen to survey brucellosis disease. The five countries were Chengcheng, Dali, Heyang, Tongguan and Hancheng. High risk populations with a history of contacting livestock and livestock products aged between 7 and 60 underwent clinical and serology examination[rose bengal plate agglutination test(RBPT) and standard tube agglutination test(SAT)]. All manipulation methods and judging standards were in accord with the \"Diagnostic Standard for Brucellosis\" (WS 269-2007). Results In the designated monitoring location, a total of 8664 people at high risk were investigated, among whom 1407 people were tested by RBPT test and 27 people were positive,the positive rate was 1.92%(27/1407); 27 people were tested by SAT test and 27 people were positive, the positive rate was 100% (27/27); 25 people were diagnosed and the diagnosis rate was 92.59%(25/27). In the randomized monitoring location, a total of 3464 people at high risk were investigated, among whom 411 people were tested by RBPT test and 3 people were positive, the positive rate was 0.73%(3/411 ), 3 people were tested by SAT test which were all positive and made a definite diagnosis. Twenty-eight new cases were made a definite diagnosis and its incidence was 2.06 in a hundred thousand(28/1 361 618). Conclusions The infection of human brucellosis in Weinan city stays at higher level. The governments should increase input for the monitoring,investigating and disinfecting to prevent the disease from increasing and outspreading. \u0000 \u0000Key words: \u0000Brucellosis;  Serologic tests;  Data collection D01:10.3760/cma.j.issn.1000-4955.2011.02.028","PeriodicalId":55880,"journal":{"name":"Chinese Journal of Endemiology","volume":"55 1","pages":"205-207"},"PeriodicalIF":0.0,"publicationDate":"2011-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86815302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analysis of monitoring results of endemic fluorosis in Shandong province in 2009 2009年山东省地方性氟中毒监测结果分析
Q3 Medicine Pub Date : 2011-03-20 DOI: 10.3760/CMA.J.ISSN.1000-4955.2011.02.022
Yun Zhong-jie, Chen Pei-zhong, Bian Jian-chao, Wang Yu-tao, G. Jie, Ma Ai-hua, Liu Yuan, Li Hengxiang
Objective To investigate the current status of endemic fluorosis in Shandong province, and to provide the scientific evidence for making strategies for prevention and control of the disease. Methods According to "The National Technical Scheme for Endemic Disease Control in 2008", thirty-four counties were divided into mild, moderate and severe endemic fluorosis areas and a village was randomly selected from each category of the area to carry out the monitoring of endemic fluorosis. The content of fluoride in drinking water and urine was determined by F-ion selective electrode, dental fluorosis of children aged 8 to 12 was diagnosed by Dean method and skeletal fluorosis diagnosed by clinic and X-rays. Results The monitoring was done in 70 water-improving villages in 34 counties, among which 54 villages had water fluoride content ≤ 1.00 mg/L and accounted for 77.14%(54/70), 16 villages had water fluoride content > 1.00 mg/L and accounted for 22.86%(16/70), the highest water fluoride content was 4.46 mg/L. The monitoring was also carried out in 32 non-water-improving villages in 34 counties, among which 9 villages had water fluoride content ≤ 1.00 mg/L and accounted for 28.12%(9/32), 23 villages had water fluoride content > 1.00 mg/L and accounted for 71.88% (23/32), the highest water fluoride content was 4.09 mg/L. The total rate of dental fluorosis of children aged 8 to 12 was 45.81%(1988/4340), the index of dental fluorosis was 0.97 and the rate of dental damage was 6.91%(300/4340). The urinary fluoride values above 1.40 mg/L were found in 55.33%(1417/2657) of children aged 8 to 12, with the highest urinary fluoride concentrations was 18.53 mg/L. The rate of skeletal fluorosis by clinic and X-rays in adults older than 16 years were 4.25% (2462/57 968) and 28.40%(23/81 ), respectively. The urinary fluoride values above 1.60 mg/L were found in 55.86% (1130/2023) of adults older than 16 years, with the highest urinary fluoride concentrations was 25.44 mg/L. Conclusions Endemic fluorosis in Shandong province has not yet been effectively controlled,control situation is still grim. Prevention efforts need to be further strengthened. Key words: Fluorosis, Dental;  Osteofluorosis;  Data collection;  Outcome assessment
目的了解山东省地方性氟中毒现状,为制定防治策略提供科学依据。方法根据《2008年国家地方病防治技术方案》,将34个县分为轻、中、重度地方性氟中毒病区,每个病区中随机抽取1个村开展地方性氟中毒监测。采用氟离子选择电极法测定饮用水和尿液中的氟化物含量,采用迪恩法诊断8 ~ 12岁儿童氟牙症,采用临床和x射线诊断氟骨症。结果对34个县的70个改水村进行了监测,其中水氟含量≤1.00 mg/L的村54个,占77.14%(54/70),> 1.00 mg/L的村16个,占22.86%(16/70),最高为4.46 mg/L。对34个县的32个非改水村进行监测,其中水氟化物含量≤1.00 mg/L的有9个村,占28.12%(9/32),> 1.00 mg/L的有23个村,占71.88%(23/32),最高为4.09 mg/L。8 ~ 12岁儿童氟斑牙患病率为45.81%(1988/4340),氟斑牙指数为0.97,牙损伤率为6.91%(300/4340)。8 ~ 12岁儿童尿氟浓度高于1.40 mg/L的比例为55.33%(1417/2657),最高为18.53 mg/L。16岁以上成人临床和x线氟骨症检出率分别为4.25%(2462/57 968)和28.40%(23/81)。16岁以上成人尿氟浓度高于1.60 mg/L的比例为55.86%(1130/2023),最高为25.44 mg/L。结论山东省地方性氟中毒尚未得到有效控制,防治形势依然严峻。需要进一步加强预防工作。关键词:氟中毒;口腔;疗效;数据收集;结果评估
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引用次数: 1
Analysis of surveillance on iodized salt in Baotou during 2008-2010 包头市2008-2010年碘盐监测分析
Q3 Medicine Pub Date : 2011-03-20 DOI: 10.3760/CMA.J.ISSN.1000-4955.2011.02.018
Liu Zhi-hong, Du Xue-mei, Zhao Dong-mei
Objective To find out the consumption situation of iodized salt in Baotou, identify problems and take appropriate intervention measures, and to provide scientific basis for further consolidating the results of control measures, strengthening and improving the sustainable elimination of iodine deficiency disorders. Methods Three batches of each quarter, 54 salt samples were sampled in Donghe wholesale division and Qingkun wholesale division in Baotou city salt company during 2008 - 2010; each place of Damaoqi, Baiyun district, and Qingshan district were divided into five sampling areas according to the direction of east, west, south, north, and central position, one school was selected in each district, 30 students aged 8 to 10 from each school were selected, and home salt samples were taken, and salt iodine was tested by direct titration(GB/T 13025.7-1999). Results Qualified rate of wholesale iodized salt was 100%(378/378) during 2008 - 2010, and mean salt iodine was 30.4 mg/kg;qualified rate of household iodized salt was 99.8%(2417/2421 ), and mean salt iodine was 30.4 mg/kg; iodized salt coverage rate was 99.6% (2421/2430) and consumption rate of qualified iodized salt was 99.4% (2417/2430).Conclusions Qualified rate of iodized salt, coverage rate of qualified iodized salt and consumption rate of qualified iodized salt are 90% or more, which has reached the standard of sustainable elimination of iodine deficiency disorders. Key words: Iodine;  Deficiency diseases;  Goiter, endemic;  Salts
目的了解包头市碘盐消费情况,发现存在的问题,采取相应的干预措施,为进一步巩固控制措施成果,加强和改善持续消除碘缺乏症提供科学依据。方法2008 - 2010年在包头市盐业公司东河批发区和青昆批发区每季度抽取3批54份食盐样品;大茂旗、白云区、青山区各地点按东、西、南、北、中心方位划分为5个采样区,每区选取1所学校,每所学校选取8 ~ 10岁学生30名,取家盐样品,采用直接滴定法测定盐碘含量(GB/T 13025.7-1999)。结果2008 - 2010年批发加碘盐合格率为100%(378/378),平均盐碘含量为30.4 mg/kg;家庭加碘盐合格率为99.8%(2417/2421),平均盐碘含量为30.4 mg/kg;碘盐覆盖率为99.6%(2421/2430),碘盐合格率为99.4%(2417/2430)。结论全区碘盐合格率、碘盐合格率和碘盐合格率均在90%以上,达到了持续消除碘缺乏症的标准。关键词:碘;缺乏疾病;地方性甲状腺肿;盐
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引用次数: 0
Corn and pepper fluorine survey in Zhenxiong county, a coal-burning borne endemic fluorosis area of Yunnan province 云南省燃煤地方性氟中毒区镇雄县玉米、辣椒氟调查
Q3 Medicine Pub Date : 2011-03-20 DOI: 10.3760/CMA.J.ISSN.1000-4955.2011.02.027
Zhang Li-juan, Deng Chun-yuan, Gao Xiu-cui, Deng Yun, Zu Wei-jiang, Zhang Hui-chong
Objective To investigate the com and pepper fluorine in Zhenxiong county of Yunnan province, as well as the change of com and pepper fluorine after baked by coal, clay-mixed with cual for a relatively long-term, in order to provide a scientific basis for reducing fluorine intake. Methods The endemic areas of Yile, Wufeng's Songlinwan, Tangfang and Wufeng's Wugu in Zhenxiong county, and a non-endemic area Xiaguan in Dali city were selected as study sites. Ten samples of fresh corn and pepper were collected in each region, and fluorine was determined using acid leaching/potentiometry freshly and after baking or drying for 10 days or 4 months, respectively. Results The fluorine content of local fresh corn in Xiaguan of Dali city and Yile,Wufeng's Songlinwan, Tangfang, Wufeng's Wugu in Zhenxiong county were (1.31 ± 0.13),(1.65 ± 0.64),(1.92 ±0.37), (2.32 ± 0.49), (1.98 ± 0.66)mg/kg, respectively, and there were statistically significant differences across the regions(H = 27.871, P < 0.05). The fluorine content of corn samples after baking or drying for 4 months were ( 1.82 ± 0.17), (26.43 ± 12.03), (39.27 ± 8.09), ( 14.27 ± 4.37), ( 14.33 ± 1.73)mg/kg, respectively, which were significantly higher than that of the fresh com in the corresponding region(all P < 0.05 ), and there were statistically significant differences across the regions(H = 42.512, P< 0.05). The fluorine content of the local fresh chili were (3.34 ± 1.08), (3.44 ± 0.55), (3.47 ± 0.74), (3.46 ± 0.93)mg/kg, respectively, in the 4 observed places in Xiaguan of Dali city and Yile, Wufeng's Songlinwan, Tangfang in Zhenxiong county, and there were no statistically significant differences across the regions (F = 0.052, P > 0.05 ). The fluorine content of pepper samples after baking or drying for 4 months were (7.01 ± 1.64), (226.07 ± 83.69), (179.36 ± 148.37), (54.51 ± 34.67)mg/kg,respectively, which were significantly higher than that of the fresh pepper in the corresponding region(all P < 0.05 ),and there were statistically significant differences across the regions(H = 28.822, P < 0.05). Conclusion Corn and chili fluorine is significantly increased after baked with coal and clay-mixed with coal by farmers in Zhenxiong county, a coal- burning borne endemic fluorosis area of Yunnan province. Key words: Fluorine;  Capsicum;  Zea mays;  Curing-baking processing
目的了解云南省镇雄县玉米和辣椒氟含量,以及玉米和辣椒经煤、粘土和白蜡混合较长时间烘烤后氟含量的变化情况,为降低氟摄入量提供科学依据。方法选取镇雄县益乐、五峰镇松林湾、塘坊、五峰镇五谷病区和大理市下关非病区作为研究点。在每个地区收集10份新鲜玉米和辣椒样品,分别在新鲜和烘烤或干燥10天或4个月后使用酸浸/电位法测定氟。结果大理市下关和镇雄县宜乐、五峰镇松林湾、塘坊、五峰镇五谷当地鲜玉米氟含量分别为(1.31±0.13)、(1.65±0.64)、(1.92±0.37)、(2.32±0.49)、(1.98±0.66)mg/kg,地区间差异有统计学意义(H = 27.871, P < 0.05)。烘培或干燥4个月后玉米样品氟含量分别为(1.82±0.17)、(26.43±12.03)、(39.27±8.09)、(14.27±4.37)、(14.33±1.73)mg/kg,显著高于相应地区鲜玉米(P均< 0.05),且各地区间差异有统计学意义(H = 42.512, P< 0.05)。大理市下关和镇雄县义乐、五峰镇松林湾、塘坊4个观测地当地鲜辣椒氟含量分别为(3.34±1.08)、(3.44±0.55)、(3.47±0.74)、(3.46±0.93)mg/kg,地区间差异无统计学意义(F = 0.052, P > 0.05)。烘焙或干燥4个月后辣椒样品的氟含量分别为(7.01±1.64)、(226.07±83.69)、(179.36±148.37)、(54.51±34.67)mg/kg,均显著高于相应地区鲜辣椒(P < 0.05),且各地区间差异有统计学意义(H = 28.822, P < 0.05)。结论云南镇雄县是燃煤型地方性氟中毒病区,农民用煤和混煤粘土烘烤玉米和辣椒后氟含量明显升高。关键词:氟;辣椒;玉米;Curing-baking处理
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引用次数: 0
Analysis of survey results of endemic fluorosis in Shandong province in 2008 2008年山东省地方性氟中毒调查结果分析
Q3 Medicine Pub Date : 2011-01-20 DOI: 10.3760/CMA.J.ISSN.1000-4955.2011.01.015
Yun Zhong-jie, Chen Pei-zhong, Bian Jian-chao, Wang Yu-tao, Li Hengxiang, Liu Yuan
Objective To investigate the current status of endemic fluorosis in Shandong province, and to provide scientific evidence for the development of control strategies. Methods According to "The National Technical Scheme for Endemic Disease Control in 2007", 19 counties were chosen to carry out the epidemiological investigation in 2008. Water and urinary fluoride were determined by F-ion selective electrode, dental fluorosis of children aged 8 to 12 were diagnosed by Dean method and skeletal fluorosis of adults over the age of 16 were examined clinically and by X-rays. Results In 19 counties, 186 villages were surveyed, 44 villages were found with mean water fluoride ≤ 1.00 mg/L, accounting for 23.66%(44/186);the value > 1.00 mg/L in 142 villages,accounting for 76.34% (142/186);maximum water fluoride 8.88 mg/L. Total detection rate of dental fluorosis of children aged 8 to 12 was 66.35% (4518/6809), dental fluorosis index was 1.55, and defect rate was 15.39%(1048/6809). Children with urinary fluoride > 1.40 mg/L was 83.29%(2149/2580), and the maximum value was 31.92 mg/L. Detection rates of skeletal fluorosis clinically and by X ray among adults over 16 years were 6.37%(5577/87 607) and 20.23% (229/1132), respectively. Conclusions Endemic fluorosis in Shandong province is still serious, prevention efforts need to be further increased. Key words: Endemic diseases; Fluorosis, dental; Osteofluorosis; Data collection
目的了解山东省地方性氟中毒现状,为制定防治策略提供科学依据。方法根据《2007年全国地方病防治技术方案》,选择19个县于2008年开展流行病学调查。用氟离子选择电极测定水氟和尿氟,用迪恩法诊断8 ~ 12岁儿童氟牙症,用临床和x射线检查16岁以上成人氟骨症。结果在调查的19个县186个村中,44个村的平均水氟化物≤1.00 mg/L,占23.66%(44/186);142个村的平均水氟化物值为> 1.00 mg/L,占76.34% (142/186);8 ~ 12岁儿童氟斑牙总检出率为66.35%(4518/6809),氟斑牙指数为1.55,缺陷率为15.39%(1048/6809)。尿氟> 1.40 mg/L患儿占83.29%(2149/2580),最大值为31.92 mg/L。16岁以上成人氟骨症临床检出率为6.37%(5577/87 607),X线检出率为20.23%(229/1132)。结论山东省地方性氟中毒仍然严重,需要进一步加大防治力度。关键词:地方病;牙氟中毒;疗效;数据收集
{"title":"Analysis of survey results of endemic fluorosis in Shandong province in 2008","authors":"Yun Zhong-jie, Chen Pei-zhong, Bian Jian-chao, Wang Yu-tao, Li Hengxiang, Liu Yuan","doi":"10.3760/CMA.J.ISSN.1000-4955.2011.01.015","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-4955.2011.01.015","url":null,"abstract":"Objective To investigate the current status of endemic fluorosis in Shandong province, and to provide scientific evidence for the development of control strategies. Methods According to \"The National Technical Scheme for Endemic Disease Control in 2007\", 19 counties were chosen to carry out the epidemiological investigation in 2008. Water and urinary fluoride were determined by F-ion selective electrode, dental fluorosis of children aged 8 to 12 were diagnosed by Dean method and skeletal fluorosis of adults over the age of 16 were examined clinically and by X-rays. Results In 19 counties, 186 villages were surveyed, 44 villages were found with mean water fluoride ≤ 1.00 mg/L, accounting for 23.66%(44/186);the value > 1.00 mg/L in 142 villages,accounting for 76.34% (142/186);maximum water fluoride 8.88 mg/L. Total detection rate of dental fluorosis of children aged 8 to 12 was 66.35% (4518/6809), dental fluorosis index was 1.55, and defect rate was 15.39%(1048/6809). Children with urinary fluoride > 1.40 mg/L was 83.29%(2149/2580), and the maximum value was 31.92 mg/L. Detection rates of skeletal fluorosis clinically and by X ray among adults over 16 years were 6.37%(5577/87 607) and 20.23% (229/1132), respectively. Conclusions Endemic fluorosis in Shandong province is still serious, prevention efforts need to be further increased. \u0000 \u0000Key words: \u0000Endemic diseases; Fluorosis, dental; Osteofluorosis; Data collection","PeriodicalId":55880,"journal":{"name":"Chinese Journal of Endemiology","volume":"41 1","pages":"51-55"},"PeriodicalIF":0.0,"publicationDate":"2011-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78770332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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中华地方病学杂志
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