Treatment and management of patients with endemic fluorosis in Ankang City, Shaanxi Province from 2019 to 2023
10.3760/cma.j.cn231583-20240826-00250
- VernacularTitle:2019—2023年陕西省安康市地方性氟骨症患者治疗及管理情况分析
- Author:
Ying DENG
1
;
Tonglei ZHANG
;
Lei LIANG
;
Feng SU
;
Xiaoqian LI
;
Rong ZHOU
;
Zhongxue FAN
;
Lu WANG
Author Information
1. 陕西省安康市疾病预防控制中心地方病防制科，安康 725000
- Publication Type:Journal Article
- Keywords:
Fluorosis;
Patient management;
Treatment
- From:
Chinese Journal of Endemiology
2025;44(2):137-141
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the treatment and management of patients with endemic fluorosis (referred to as fluorosis) in Ankang City, Shaanxi Province, and to provide a scientific basis for adjusting and optimizing treatment and management strategies for fluorosis patients.Methods:A retrospective analysis was conducted on patient information collected from county-level disease prevention and control centers in Ankang City from 2019 to 2023. Data included demographic information, clinical treatment, chronic disease management, treatment records, work reports, and summaries. The study aimed to learn about the treatment willingness, methods, and effects of patients with fluorosis, and to evaluate the disease management situation of patients with fluorosis.Results:From 2019 to 2023, the proportion of fluorosis patients who were willing to receive treatment in Ankang City had increased from 76.80% (1 089/1 418) in 2019 to 100% (1 408/1 408) in 2023, showing an upward trend year by year (χ 2trend = 971.15, P < 0.001). A total of 6 876 patients received treatment, with a treatment rate of 100%. The majority of patients received drug treatment (99.64%, 6 851/6 876), with an effective rate of 94.90% (6 525/6 876). The effective rate of treatment for patients with fluorosis had increased from 88.71% (966/1 418) in 2019 to 94.67% (1 333/1 408) in 2023, showing an upward trend (χ 2trend = 1 002.92, P < 0.001). The adverse reaction rate of drug treatment was 0.36% (25/6 876). The combination of oral medication and local treatment had the highest effective rate (97.62%, 3 566/3 653). The management rate and contracted service rate of fluorosis patients were 100% each year, and the standardized management rate was above 99%. Conclusions:Fluorosis patients in Ankang City have a high willingness to receive treatment, with good treatment outcomes. The contracted services and management of patients are well implemented. In the future, continuous efforts should be made to improve the prevention, management, and health education of fluorosis patients.
