2015年许昌市碘缺乏病防治现状调查

发布时间：2019-03-26 16:11

【摘要】：目的为全面了解许昌市碘缺乏病防治效果,掌握碘盐新标准实施后,8-10岁儿童及孕妇碘营养水平,为科学调整干预策略提供依据。方法在许昌市6个县(市、区)按照随机抽样的方法,抽取30个乡(镇),120个行政村,共1 800户居民家中食盐样品,定量检测盐碘含量;随机抽取1 567名8-10岁儿童,检测尿碘含量,并用触诊法检查甲状腺;随机抽检605名孕妇的尿样,检测尿碘含量。结果共检测居民用户食用盐样1 800份,合格碘盐食用率为91.50%,碘盐覆盖率为97.17%;触诊法检查1 567名8-10岁儿童甲状腺肿,肿大率为1.08%;共检测8-10岁儿童尿样1 567份,尿碘中位数为216.7μg/L,男童尿碘中位数为223.9μg/L,高于女童尿碘中位数207.3μg/L(Z=3.935,P㩳0.001);检测孕妇尿样605份,尿碘中位数为174.7μg/L。结论许昌市碘缺乏病防治各项指标达到全国消除碘缺乏病标准,仍应充分发挥健康教育的作用,达到持续消除碘缺乏危害的目的。
[Abstract]:Objective To study the prevention and control effect of iodine deficiency in Xuchang City, and to master the iodine nutrition level of children aged 8-10 and pregnant women after the new standard of iodized salt, and provide the basis for scientific adjustment of the intervention strategy. Methods In 6 counties (cities and districts) of Xuchang City, a sample of salt and iodine was taken from 30 townships (towns) and 120 administrative villages by random sampling, and the content of the salt and iodine was quantitatively detected. A total of 1,567 children aged 8 to 10 years were randomly selected, and the content of the urine iodine was measured. The thyroid was checked by palpation, and the urine samples of 605 pregnant women were randomly selected and the content of urine iodine was detected. The results showed that 1 800 samples of edible salt, 91.50% of qualified iodized salt, 97.17% of iodized salt,1 567 children with 8-10 years of age and 1.08% were examined by palpation, and 1,567 samples of children with 8-10 years of age were detected, and the median of urinary iodine was 216.7. m The median of urinary iodine in boys was 223.9. m u.g/ L, which was higher than that of the girl's urine iodine, which was 207.3. m u.g/ L (Z = 3.935, P? 0.001);605 parts of the urine samples were detected and the median urinary iodine was 174.7. m u.g/ L. Conclusion The prevention and control of iodine deficiency in Xuchang City has reached the national standard of eliminating iodine deficiency, and should give full play to the role of health education and achieve the purpose of continuing to eliminate the harm of iodine deficiency.
【作者单位】：河南省许昌市疾病预防控制中心;
【分类号】：R599

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