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目的掌握西藏自治区大骨节病流行现状及病情变化趋势,评估防治效果。方法按照中央转移支付项目要求,对病区乡7-12岁儿童进行临床检查和右手X线拍片。结果 2000-2015年间全区51个县共监测174次,检查7-12岁学生43 034人次,X线拍片43 034人次,共检出阳性病例1 388人次,总X线阳性率为3.23%。采取综合防治措施后,病情下降明显,2007年以后,病情逐渐趋于控制。结论综合防治措施有效,病情稳定下降。但病情在低位波动、徘徊不下。说明防治措施的落实可能有空白或遗漏。应加强病情监测和督导,防止病情反弹。
Objective To grasp the prevalence and prevalence of Kashin-Beck disease in the Tibet Autonomous Region and evaluate the control effect. Methods According to the requirements of the central transfer payment program, clinical examination and right-handed X-ray filming were performed on children aged 7-12 years old in ward area. Results A total of 174 034 students aged 7-12 years and 43 034 X-rays were examined in 174 counties in 51 districts from 2000 to 2015. A total of 1 388 positive cases were detected. The total positive rate of X-ray was 3.23%. After taking comprehensive prevention and treatment measures, the condition declined obviously. After 2007, the condition gradually became control. Conclusion The comprehensive prevention and treatment measures are effective and the condition is stable. However, the condition fluctuated in the low level and lingered. Indicating the implementation of prevention and control measures may be blank or missing. Disease surveillance and supervision should be strengthened to prevent the disease from rebounding.