衢州市8～10岁儿童碘营养状况

发布时间：2018-10-24 11:37

【摘要】：目的了解衢州市学龄儿童碘营养状况及甲状腺患病情况,为探索改进碘缺乏病监测模式与方法提供依据。方法整群随机抽取衢州市6个县(市、区)30所小学的8~10岁儿童进行甲状腺B超检查,同时采集食用盐和尿液进行盐碘和尿碘检测。结果衢州市1 236名学龄儿童家中食用盐碘中位数为22.4 mg/kg,碘盐覆盖率为98.46%,碘盐合格率为89.89%,合格碘盐食用率为88.51%。1 227份尿样尿碘中位数为189.2μg/L,不同尿碘水平学生的甲状腺结节率差异无统计学意义(χ2=2.028,P0.05)。B超检测627人,甲状腺肿大率为1.91%;常规触诊587人,肿大率为0.34%,2种检测结果差异有统计学意义(χ2=6.582,P0.05)。不同性别和不同年龄学生甲状腺肿大和结节检出率差异无统计学意义。结论学龄儿童碘营养状况良好,但甲状腺结节率偏高。甲状腺触诊不能满足学生的评价指标要求,应推广使用B超法开展甲状腺监测。
[Abstract]:Objective to investigate iodine nutritional status and thyroid prevalence of school-aged children in Quzhou, and to provide basis for improving the monitoring model and methods of iodine deficiency disorders (IDD). Methods Children aged 10 years old from 30 primary schools in 6 counties (cities and districts) of Quzhou were randomly selected for thyroid B ultrasound examination. Salt iodine and urine were collected and tested for iodine in salt and urine at the same time. Results the median of salt iodine consumption in the home of 1 236 school-age children in Quzhou was 98.46 mg/kg, the qualified iodized salt rate was 89.89, and the eligible iodized salt consumption rate was 88.51.227 urine iodine median was 189.2 渭 g / L, and the thyroid gland of students with different levels of urinary iodine was obtained. There was no significant difference in nodule rate (蠂 2 + 2 028 P 0.05). The goiter rate was 1.91%, and 587 cases were diagnosed by palpation, the swelling rate was 0.34 and there was significant difference between them (蠂 2, 6.582, P 0.05). There was no significant difference in the detection rate of thyroid enlargement and nodule between different genders and different ages. Conclusion the iodine nutritional status of school age children is good, but the thyroid nodule rate is higher. Thyroid palpation can not meet the evaluation requirements of students.
【作者单位】：浙江省衢州市疾病预防控制中心;浙江省疾病预防控制中心;
【分类号】：R153.2

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