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目的掌握甘肃省武山县大骨节病病情变化趋势和防治措施落实情况,为大骨节病的防治提供科学依据。方法按照甘肃省大骨节病监测方案的要求,抽查武山县大骨节病历史重病区2个村作为监测点,依据《大骨节病诊断标准》,对监测点7~12岁儿童进行大骨节病临床检诊和右手X线拍片检查,并评价防治措施的落实效果。结果 2个监测村临床检诊儿童165人,未检出阳性病例;儿童X线拍片100人,亦未发现阳性病例;病区村全面落实退耕还林121公顷、供应硒盐受益人口2 099人、改变主食结构等各项防控措施,使得病情得到有效控制。结论武山县大骨节病病情处于稳定状态,病区出现了“零发病”趋势;为巩固取得的成果,应对病区居民加强健康教育、持续开展病情监测,保持目前良好的效果。
Objective To grasp the changing trend of Kashin-Beck disease in Wushan County, Gansu Province and the implementation of prevention and treatment measures, so as to provide a scientific basis for prevention and treatment of Kashin-Beck disease. Methods According to the requirements of Kashin-Beck disease surveillance program in Gansu Province, 2 villages with Kaschin-Beck disease in Wushan County were selected as monitoring points. According to the diagnostic criteria of Kashin-Beck disease, children with Kashin- Examination and right-handed X-ray film examination, and evaluation of the implementation of prevention and treatment measures. Results A total of 165 children were examined clinically in the two monitoring villages and no positive cases were detected. There were 100 children with X-ray film and no positive cases were found. Ward and Village implemented 121 hectares of returning farmland to forestry and 2,099 beneficiaries of selenium salt , Change the staple food structure and other prevention and control measures, making the condition effectively controlled. Conclusion The prevalence of Kashin-Beck disease in Wushan County is in a stable state. The trend of “zero incidence” appears in the ward. To consolidate the achievements made, we should strengthen the health education of residents in the ward and keep on monitoring the disease so as to maintain the current good results.