贵州省平塘县汤锅营村和么村碘缺乏病现状调查分析

The status investigation of iodine deficiency disorders on Tangguoyin village and Mo village in Pintang

目的掌握碘缺乏病防治10年后,原碘缺乏病重病区病情变化情况。方法选取贵州省平塘县者密镇原重病区汤锅营村、么村,采取普查与抽样调查相结合,调查碘缺乏病流行现状,测定7～14岁学生尿碘、盐碘及智商。结果甲状腺肿大率汤锅营村11.76%,么村2.12%;汤锅营村学生IQ均值为79.2,智力属于边缘水平,么村学生IQ均值为92.4,智力属于中上水平,二村差异有显著性意义;两村蛋白质每人每日摄入量分别为26.8、47.5g,差异有显著意义;碘盐每人每日摄入量汤锅营村17.9mg/kg,么村15.4mg/kg,差异无显著意义。结论碘缺乏病得到较好控制,所表现的高甲肿率、低智商等一系列与此相关联的临床症状与体征应为碘缺乏所致。

Objective To understand the variation of the areas with serious iodine deficiency disorders ten years after IDD control. Methods We chosed Tangguoyin village and Mo village as sureillance spots. The status of iodine deficiency disorders and the intelligence quotient(IQ), urinary iodine and salt iodine of student aged 7 to 17 years, were investigated by combining survey with selective investigation. Result Goiter rate of Tangguoyin village was 11.76%, that of Mo village is 2.12%. The studen's IQ average value of Tangguoyin village was 79.2 which was borderline. That of Mo village was 92.4 which was the state of being middling. The differences between two villages was significant; The protein values that were taken in by people everyday were 26.8 g and 47.5 g and the difference was significant. The iodized salt values that were taken in by people everyday were 17.9 mg/kg and 15.4 mg/kg without the significantly differences. Conclusions Iodine deficiency disorders has been controlled. The iodine deficiency leaded to the clinical manifestation and the body,s characteristics which are high goiter rate, low intelligence quotient, etc.