2006至2010年铜绿假单胞菌分布及耐药性分析

目的 分析2006至2010年中山大学附属东华医院临床分离的646株铜绿假单胞菌的耐药情况.方法 采用全自动微生物分析仪VITEK32进行细菌鉴定,用Kirty Bauer法进行药敏试验.并用WHONET5.5对其耐药性进行分析.结果 5年共分离铜绿假单胞菌646株,以呼吸道标本分离株为主,占65.9％.分离菌对抗菌药...     

连城新泉北村氟病区改水后儿童氟斑牙防治效果观察

连城县新泉北村位于连城县南部，当地群众以农为主，黄泥沙质土，属半丘陵地带。１９８２年县防疫站在全县范围内开展了水质调查，发现该村居民饮用井水氟含量为１．９ｍｇ／Ｌ。１９８５年龙岩地区和连城防疫站组成联合调查组对新泉北村进行地氟病流行病学调查，调查１周...     

MADP-MXEP方案治疗复发与难治性非霍奇金淋巴瘤的近期及远期效果

CHOP、CHEP方案治疗非霍奇金淋巴瘤（NHL）效果肯定，但部分患者达不到完全缓解，或缓解后复发，成为复发与难治性淋巴瘤，是临床治疗的难题。为了探索对经CHOP、CHEP方案一线治疗失败，或复发的病例的解救治疗。我们自1992年10月～2004年10月，采用氮芥（HN2）、阿糖胞苷（Ara—C）、氮烯咪胺（DTIC）、强的松（PDN）和米托蒽醌（MX）、足叶乙甙（VP-16）、PDN组成MADP—MXEP方案，治疗复发与难治性NHL19例，现报告如下。     

福建省龙岩市碘缺乏病病情监测结果分析

Objective To understand the current situation of iodine deficiency diserders(IDD) in Longyan City and to evaluate the effect of prevention and control measures of IDD in order to provide evidence for formulating prevention and control tactics. Methods During the year of 2006 and 2007, the 30 primary schools were screened by population proportion survey(PPS) from the 7 counties of Longyan City. Forty children aged 8-10 years in each school were randomly selected as a group to examine thyroid, and 7 children in each group were selected to measure the urine iodine and the salt iodine at the same time. The goiter rote, the median urinary iodine, the consumption rate of qualified iodized salt, the iodine salt coverage rate, the rate of qualified iodized salt and the non-iodized rate were detected. Results The goiter rate of children aged 8-10 years old in Longyan City was 0.94%(79/8438). The median urinary iodine was 259.12 μg/L. The consumption rate of qualified iodized salt was 97.86% (1462/1494). The iodine salt coverage rate was 99.46%(1486/1494). The rate of qualified iodized salt was 98.38 (1462/1486), and the non-iodized rate was 0.54% (8/1494). Conclusions All indicators have reached the national standard of eliminating IDD in Longyan City.     

福建省龙岩市碘缺乏病病情监测结果分析

Objective To understand the current situation of iodine deficiency diserders(IDD) in Longyan City and to evaluate the effect of prevention and control measures of IDD in order to provide evidence for formulating prevention and control tactics. Methods During the year of 2006 and 2007, the 30 primary schools were screened by population proportion survey(PPS) from the 7 counties of Longyan City. Forty children aged 8-10 years in each school were randomly selected as a group to examine thyroid, and 7 children in each group were selected to measure the urine iodine and the salt iodine at the same time. The goiter rote, the median urinary iodine, the consumption rate of qualified iodized salt, the iodine salt coverage rate, the rate of qualified iodized salt and the non-iodized rate were detected. Results The goiter rate of children aged 8-10 years old in Longyan City was 0.94%(79/8438). The median urinary iodine was 259.12 μg/L. The consumption rate of qualified iodized salt was 97.86% (1462/1494). The iodine salt coverage rate was 99.46%(1486/1494). The rate of qualified iodized salt was 98.38 (1462/1486), and the non-iodized rate was 0.54% (8/1494). Conclusions All indicators have reached the national standard of eliminating IDD in Longyan City.     

龙岩市2011年碘缺乏病监测结果分析

目的了解龙岩市重点人群尿碘水平和碘缺乏病病情现状,评价防控措施效果,为制定防控策略提供依据。方法根据《福建省执行2011年度中央补助地方公共卫生专项资金地方病防治项目技术实施方案》的要求,对8-10岁儿童、孕妇和哺乳期妇女开展相关调查。结果共检测724名8-10岁儿童尿样,尿碘中位数为244.6μg/L,〈50μg/L者占1.1%;男性尿碘中位数（268.0μg/L）高于女性（216.3μg/L）;8、9、10岁组儿童尿碘中位数分别为223.9、250.8、236.3μg/L;各县（市、区）人群尿碘中位数216.4-292.8μg/L;31名孕妇、30名哺乳期妇女尿碘中位数分别为132.3和116.3μg/L;80名8-10岁儿童甲状腺容积均数（3.42±1.30）mL,中位数3.13mL,甲状腺肿大率3.75%,其家庭碘盐覆盖率为100.0%,碘盐合格率和合格碘盐食用率为98.8%,盐碘中位数为29.8mg/kg;24户家庭日人均食盐摄入量均数为（7.5±2.5）g,中位数7.4g。结论龙岩市碘缺乏病监测结果达到消除标准;儿童尿碘水平大于适宜量,哺乳期妇女碘营养适宜,孕妇存在碘营养不足。     

福建省龙岩市2007年8～1O岁儿童碘缺乏病监测结果

目的及时掌握龙岩市碘缺乏病流行现状和人群碘营养状况，评价干预措施落实情况及效果。方法根据福建省碘缺乏病病情监测方案的要求，2007年龙岩市疾病预防控制中心确定该市新罗、永定、连城、上杭4县（区）为病情监测县，上述各县（区）以县（区）为单位，按人口容量比例概率抽样法（PPS）开展8～10岁儿童甲状腺状况（触诊法）、尿碘水平和碘盐合格率的监测。结果8～10岁儿童甲状腺肿大率为1．26％，尿碘中位数为232．88μg/L，碘盐合格率为100％。结论龙岩市在实现消除碘缺乏病阶段目标后，病情稳定，防治效果巩固；今后应进一步加强居民食用碘盐的宣传力度，积极探索如何保持人群适宜的碘营养水平。     

龙岩市2015年碘缺乏病监测结果分析

目的 了解龙岩市碘缺乏病防治状况,为制定“十三五”地方病防治规划提供依据.方法 按《福建省碘盐监测实施细则》方法采样,直接滴定法检测盐碘含量;按WS/T 107-2006砷铈催化分光光度法检测尿碘浓度;触诊法检查甲状腺肿大情况.结果 共检测居民食用盐2 100份,合格碘盐食用率96.0％(92.7％～97.3％),盐碘中位数24.4mg/kg;707名孕妇家庭食用盐,合格碘盐食用率96.7％(93.1％～100％),盐碘中位数24.3mg/kg.检测1 409名8～10岁儿童尿样,尿碘中位数209.3 μg/L(178.9～249.1 μg/L),有4个县100～200 μg/L,3个县200～250 μg/L;707名孕妇尿碘中位数132.0 μg/L(119.6～143.6μg/L),＜100 μg/L占31.1％,＜150 μg/L占58.8％.1 415名8～10岁儿童甲状腺肿大率0.7％.结论 龙岩市新标准碘盐普及较好,8～10岁儿童碘营养充足,孕妇碘营养不足,需要采取其他补碘措施.     

游泳池水质卫生状况的综合评价

「目的」探讨游泳池水质卫生状况的综合评价方法。「方法」应用多目标决策中的优选法－密切值法对５家游泳池１０项指标的监测结果进行综合评价。「结果」应用密切值法评判的５家游泳池水质卫生状况的优劣顺序与实际情况相符，效果满意。「结论密切值法原理清晰，逻辑严谨，计算简便，结果直观，用于游泳池水质卫生状况的综合评价具有客观性强，科学简便等优点。     

龙岩市碘缺乏病防治现状调查分析

目的 掌握龙岩市实现消除碘缺乏病阶段目标和执行碘盐新标准之后碘缺乏病病情的消长趋势,评价防治的可持续性.方法 全市调查4个县(区),应用触诊法检查4 867名8～10岁儿童的甲状腺肿大情况;应用过硫酸铵消化-砷铈催化分光光度法检测865份尿碘;应用直接滴定法检测867份盐碘.结果 8～10岁儿童甲状腺肿大率为1.44%,尿碘中位数为267.8μg/L,合格碘盐食用率为96.89%,各项指标均达到国家消除碘缺乏病标准.结论 实现消除碘缺乏病阶段目标和执行碘盐新标准之后,各项防治措施落实,防治成效显著.