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目的为掌握山东省大骨节病病情动态变化,给防治决策提供科学依据。方法依据全国大骨节病监测方案,收集自1996年以来至2010年的病情监测数据,分析我省7~12岁儿童大骨节病临床与X线检出率变化。结果 15年来临床检查7~12岁儿童3358人次,未发现Ⅰ度及以上患儿;手腕部X线摄片3091人次,检出阳性病例41人次,平均检出率1.33%,其中干骺端29例,骨端12例。结论山东省大骨节病病情持续在基本控制标准以内,但多数监测年份仍有X线阳性病例检出,且以干骺端为主,因此应继续加强病情监测工作。
Objective To grasp the dynamic changes of Kashin-Beck disease in Shandong Province and provide a scientific basis for prevention and treatment decision-making. Methods According to the monitoring program of Kashin-Beck disease in our country, we collected the monitoring data of disease from 1996 to 2010 and analyzed the clinical and X-ray detection rate of Kashin-Beck disease in our province from 7 to 12 years old. Results In the past 15 years, 3,358 children aged 7-12 years old were examined clinically. Children with grade Ⅰ and above were not found. There were 3091 cases of X-ray on wrist and 41 cases were positive. The average detection rate was 1.33% For example, bone end in 12 cases. Conclusion The prevalence of Kashin-Beck disease in Shandong Province remains within the basic control standards. However, in most monitoring years, there are still X-ray positive cases detected, and mainly in the metaphysis. Therefore, the condition monitoring should continue to be strengthened.