2016年沧州市水源性高碘地区儿童甲状腺肿病情现状调查

发布时间：2018-03-17 18:12

  本文选题：水碘　切入点：甲状腺肿大　出处：《中国地方病防治杂志》2017年03期 　论文类型：期刊论文

【摘要】：目的了解停供碘盐后沧州市目前水源性高碘地区儿童甲状腺肿病情,为制定防治措施提供科学依据。方法按《全国碘缺乏病监测方案》在沧州市10个水源性高碘县(市、区)进行居民无碘食盐检测;在水碘含量100.0-1 100.0μg/L范围内抽取9个水源性高碘病情监测点,每个监测点随机抽取8-10岁儿童100名,其中,男、女各50名;用B超法检测甲状腺容积;随机抽取其中不少于50名儿童(男、女各半)检测尿碘含量;每个监测村采集2份末梢水水样,测定水碘含量;学校饮用净化水的采集1份水样,测水碘含量。结果 10个高碘县(市、区)共采集居民户食用盐2 580份,其中,无碘食盐2 416份,无碘食盐率为93.64%;9个水源性高碘病情监测点对925名儿童进行了甲状腺容积检测,甲状腺肿大116例,总甲肿率为12.54%,采集儿童尿样542份,尿碘中位数为536.0μg/L;水碘值在100.0-500.0μg/L的监测点儿童甲肿率与水碘值在500.0-1 096.0μg/L的监测点儿童甲肿率具有统计学差异(χ2=40.17,Ρ0.01)。结论水源性高碘地区停供碘盐措施后,水碘值在100.0-500.0μg/L的监测点儿童甲肿病情较轻,水碘值≥500.0μg/L的地区病情仍较为严重。
[Abstract]:Objective to investigate the condition of goiter of children in water source high iodine area of Cangzhou after discontinuation of iodized salt, and to provide scientific basis for making prevention and cure measures. Methods according to the National Surveillance Program of iodine deficiency Disorders, 10 water-source high iodine counties (cities) in Cangzhou City, The iodine content of water was 100.0-1 ~ 100.0 渭 g / L, 9 monitoring points of water source hyperiodine disease were selected, 100 children (50 male and 50 female) were randomly selected from each monitoring point, and thyroid volume was measured by B-ultrasonic method. No less than 50 children (male and half female) were randomly selected to detect urinary iodine content; 2 peripheral water samples were collected from each monitoring village, and 1 water sample was collected from school drinking purified water. Results A total of 2,580 edible salt samples were collected from 10 high iodine counties (cities and districts), of which 2,416 were iodized salt, and the rate of iodized salt was 93.640.The thyroid volume of 925 children was measured in 9 water source hyperiodized disease monitoring sites. There were 116 cases of goiter, the total goiter rate was 12.54. 542 samples of children's urine were collected. The median of urinary iodine was 536.0 渭 g / L, the goiter rate of children at monitoring point 100.0-500.0 渭 g / L was significantly different from that of children with water iodine value of 500.0-1 096.0 渭 g / L (蠂 ~ 2 / 40.17, P ~ (0.01) 01). Conclusion after stopping iodized salt supply in water-source high iodine area, there is a significant difference in goiter rate between children and children with water iodine value of 500.0-1 ~ (-9) 渭 g 路L ~ (-1). The goiter of children with water iodine value of 100.0-500.0 渭 g / L was mild, and the area with water iodine value 鈮，

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