2014年吉林省碘缺乏病病情监测结果分析

发布时间：2018-07-28 06:45

【摘要】：目的为全面了解吉林省碘缺乏病病情变化趋势,掌握重点人群碘营养水平,为吉林省碘缺乏病防治工作提供科学依据,并对已采取的防治措施效果进行评价。方法采取人口比例概率抽样方法在吉林省随机抽取30个抽样单位所在的县(市、区),从上述方法抽到的每个县(市、区)中选取1所小学;在被抽到的小学中随机抽取50名8-10岁学生,用B超法检测其甲状腺大小,留尿并采集其家中食用盐,测定尿及盐中碘含量;同时,选择1个乡(镇、街道办事处),每个乡(镇、街道办事处)抽取孕妇20名检测尿碘。结果 8-10儿童B超检测甲肿率为1.41%,尿碘值中位数为157.70μg/L;居民户碘盐合格率85.13%,合格碘盐食用率70.74%;孕妇尿碘值中位数为146.50μg/L。结论通过食盐加碘为主的防治碘缺乏病综合措施的落实,我省碘缺乏病病情得到有效控制,经过2012年碘盐浓度调整,8-10岁儿童甲状腺肿大率及尿碘值均达到国家消除碘缺乏病标准。说明居民碘营养水平是适宜的,但也应注意孕妇等特需人群碘营养水平有待提高以及可能存在非碘盐冲击市场影响消除碘缺乏病的因素存在。
[Abstract]:Objective to understand the trend of iodine deficiency disorders (IDD) in Jilin province, to grasp the iodine nutrition level of key population, to provide scientific basis for the prevention and control of IDD in Jilin Province, and to evaluate the effect of the measures taken. Methods the population proportion probability sampling method was used to randomly select 30 counties (cities and districts) in Jilin Province, and one primary school was selected from each county (city, district) drawn by the above method. Fifty students aged 8 to 10 years were randomly selected from the primary school. The size of thyroid gland was measured by B ultrasonic method, the size of thyroid gland was measured, the urine and salt were collected, and the iodine content in urine and salt was measured. At the same time, one township (town, street office) was selected, each township (town, town). Twenty pregnant women were tested for urine iodine. Results the rate of goiter was 1.41, the median value of urinary iodine was 157.70 渭 g / L, the qualified rate of iodized salt was 85.13, the consumption rate of qualified iodized salt was 70.74 and the median of urine iodine value of pregnant women was 146.50 渭 g / L. Conclusion through the implementation of the comprehensive measures to prevent and cure iodine deficiency disorders, the condition of iodine deficiency disorders in our province can be effectively controlled. After iodized salt concentration adjustment in 2012, the goiter rate and urinary iodine value of children aged 8 to 10 years reached the national standard for eliminating iodine deficiency disorders. It is suggested that the iodine nutrition level of residents is appropriate, but it should also be noted that the iodine nutrition level of the special needs population such as pregnant women needs to be improved, and that there may be some factors affecting the elimination of iodine deficiency disorders caused by the impact of non-iodized salt on the market.
【作者单位】：吉林省地方病第二防治研究所;
【分类号】：R599

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