2002年中国8～10岁儿童甲状腺肿大率分析

Total goiter rate of children aged 8～10 years in China in2002

目的了解和掌握中国基本实现消除碘缺乏病阶段目标后的防治现状,完善可持续防治策略。方法采用触诊和B超方法检测8～10岁儿童甲状腺,由省级专业机构负责进行。结果按触诊法的加权结果评价,儿童甲状腺肿大率(甲肿率)新疆、西藏、重庆、贵州、陕西5个省份在10%以上,甘肃、辽宁、海南、北京、内蒙古、黑龙江、上海、浙江、安徽、江西、山东、河南、四川、云南、青海15个省份儿童甲肿率在5%～10%之间,其余省份在5%以下。结论自1995～2002年,8～10岁儿童甲肿率,无论是B超法还是触诊法及Ⅱ度甲状腺肿大率都不同程度地逐年下降,说明全国碘缺乏病的干预效果明显。

Objective In order to understand the current control status after basically reaching the stage goal of elimination of iodine deficiency disorders （IDD） to improve the sustainable control strategy. Methods Thyroid examinations by palpation and B ultrasound were conducted in provincial professional institutions. Results According to the weighted results by palpation, total goiter rate in five provinces including Xinjiang, Xizang, Chongqing, Guizhou, and Shaanxi was all above 10%. Total goiter rate in the 15 provinces including Gansu, Liaoning, Hainan, Beijing, Inner Mongolia, Heilongjiang, Shanghai, Zhejiang, Anhui, Jiangxi, Shandong, Henan, Sichuan, Yunnan, and Qinghai was between 5% and 10%. In the remaining provinces it was below 5%. Conclusions It can be seen that total goiter rate by ultrasound and palpation, visible goiter rate have decreased from 1995 to 2002. It indicates that the national measures using iodized salt to control IDD is significantly effective.