Fang Weixuan, Wu Pengwu, Hu Ruizhong, Huang Zhuanying
Open Laboratory of Ore Deposit Geochemistry (LODG), Institute of Geochemistry, Chinese Academy of Sciences, 73 Guanshui Road, Guiyang 550002, PR China.
Environ Geochem Health. 2003 Jun;25(2):267-80. doi: 10.1023/a:1023271403310.
Causes of Keshan-Beck disease (KBD) are still being probed and monitored in China. Relationships between trace elements from eco-environmental systems and KBD are poorly understood although relationships between environmental Se and human health have received extensive attention. In order to investigate relationships between eco-environmental geochemistry and KBD, we selected the Chousang KBD area in Yao County, Shaanxi Province, China, as an example of a prevailing KBD area applying I-Se-rich salts instead of utilizing Se-rich fertilisers on food crops to prevent local residents from developing KBD before 1995. Environmentally geochemical samples (rocks, soils, plants and children's hair) were collected from the Chousang KBD area. Soils in the study area contain 0.11 +/- 0.02 microgram Se g-1, 0.75 +/- 0.11 microgram Mo g-1, and 34.5 +/- 1.5 micrograms B g-1 on average, indicating that the study area is a deficient-Se-Mo-B area. Se (0.07 +/- 0.007 microgram g-1), Mo (0.35 +/- 0.09 microgram g-1) and B (3 +/- 0 micrograms g-1) contents are low in wheat and corn used as a daily main food staple of local inhabitants. It is indicated that the study area is deficient in environmental Se-Mo-B for the local residents. Se contents of children's hair from the Yangyuan Elementary School in the study area range from 0.09 to 0.26 microgram Se g-1 with an average of 0.165 +/- 0.05 microgram Se g-1 (n = 10) in this KBD endemic area. Due to the low levels of Se, Mo and B available in soils and rocks, crops including wheat and corn are deficient in these elements, accordingly, the deficiency of Se, Mo and B in this area may be linked to the daily consumption of wheat and corn deficient in Se, Mo and B. Therefore, local inhabitants should be encouraged to fertilise mixtures of Se, Mo and B on crop plants in order to avoid development of KBD and guarantee a good harvest of crops.
在中国,克山病-大骨节病(KBD)的病因仍在探究和监测之中。尽管环境硒与人类健康的关系已受到广泛关注,但生态环境系统中的微量元素与克山病-大骨节病之间的关系却鲜为人知。为了研究生态环境地球化学与克山病-大骨节病之间的关系,我们选取了中国陕西省耀县稠桑克山病-大骨节病病区作为一个流行病区的实例,该地区在1995年之前通过施用富硒盐而非在粮食作物上使用富硒肥料来预防当地居民患上克山病-大骨节病。从稠桑克山病-大骨节病病区采集了环境地球化学样本(岩石、土壤、植物和儿童头发)。研究区域的土壤平均含硒量为0.11±0.02微克/克、含钼量为0.75±0.11微克/克、含硼量为34.5±1.5微克/克,表明该研究区域是一个缺硒-钼-硼地区。作为当地居民日常主食的小麦和玉米中的硒含量(0.07±0.007微克/克)、钼含量(0.35±0.09微克/克)和硼含量(3±0微克/克)较低。这表明研究区域的当地居民所处环境缺硒-钼-硼。在这个克山病-大骨节病流行区,研究区域内阳原小学儿童头发的硒含量在0.09至0.26微克/克之间,平均为0.165±0.05微克/克(n = 10)。由于土壤和岩石中可利用的硒、钼和硼含量较低,包括小麦和玉米在内的作物这些元素含量不足,因此,该地区硒、钼和硼的缺乏可能与日常食用缺硒、钼和硼的小麦和玉米有关。因此,应该鼓励当地居民在农作物上施用硒、钼和硼的混合肥料,以避免患上克山病-大骨节病并保证作物丰收。