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目的了解山东省地方性氟中毒改水降氟措施完成情况与病情变化动态。方法按照山东省地方性氟中毒监测方案的要求,对高密等5县市有关地方性氟中毒指标进行调查。结果高密等5县市共有地氟病村2377个,改水完成率为66.18%,改水工程正常运转率74.13%;高密等3县市改水工程水氟合格率43.66%,水氟最大值4.89mg/L;重点监测点8～12岁儿童氟斑牙总检出率84.31%,缺损率17.29%,氟斑牙指数1.90;儿童尿氟群体几何均值是3.67mg/L,个体最大值25.24mg/L。结论山东省地氟病防治措施落实进度比较缓慢,病情尚未达到有效控制。
Objective To understand the status quo and the change of the disease of water-reducing and fluoride-reducing measures of endemic fluorosis in Shandong Province. Methods According to the requirements of endemic fluorosis monitoring program in Shandong Province, the local fluorosis indexes in 5 counties and cities such as Gaomi were investigated. Results In Gaomi and other 5 counties and cities, there were 2377 endemic fluorosis villages with completion rates of 66.18% and normal operation rates of water diversion projects of 74.13%; high pass rates of 43.66% for water diversion projects in Gaomi and other counties, 4.89mg / L. The total detection rate of dental fluorosis was 84.31%, the rate of defect was 17.29% and the dental fluorosis index was 1.90 in key monitoring points of children aged 8 to 12. The geometric mean of urinary fluoride in children was 3.67mg / L, and the maximum was 25.24 mg / L. Conclusion The implementation progress of prevention and treatment of debridement in Shandong Province is relatively slow, and the condition has not yet been effectively controlled.