建立长效防治机制保持地区内消除碘缺乏病状态

Study on keeping elimination state of IDD by establishing long effect mechanism for prevention and cure of IDD

目的对临沂市控制碘缺乏病进行研究,探讨如何建立防治碘缺乏病长效机制使地区内长期保持消除碘缺乏病状态的方法与措施。方法分析历年流调与防治资料,探索控制与消除碘缺乏病的有效措施。结果通过防治实践建立了组织与专业防治体系,形成了消除碘缺乏病长效工作机制。流行病学调查与防治结果:防治前临沂市人群甲状腺平均患病率10．94%,7～14岁儿童甲状腺肿大率54．98%,居民尿碘值为23．9～32．2μg/gCr,水源碘含量0～6．96μg/L,乡镇人群患病率与饮水碘含量呈负相关(r=-0．7218, P＜0．05);1980年全民食用碘盐防治后至2005年碘盐合格率由72．72%上升至94．28%,8～10岁儿童甲状腺肿大率由37．70%降至3．89%,尿碘均值由35．23μg/gCr上升至266．56μg/L;1994～1996年重点人群累计补服碘油丸4 212 374人次,平均补服率84．1%;各类人群IDD防治常识知晓率由1985年的70．14%升至2005年的94．28%。结论落实综合性防治措施,建立可持续进行的碘缺乏病防治工作机制,在一个较大的地区长期保持消除碘缺乏病状态是可以操作的。

Objective To study eliminating Iodine-deficiency disease IDD in Linyi city and investigate the mechanism for prevention and cure of IDD to keeping elimination state of IDD.Methods All epidemic investing and prevention datum were analysed,for exploring the effect measures to controll and eliminate IDD.Results Organization and Professional system by prevention and cure practices were established,long effect mechanism for prevention and cure IDD were formed. The average rate of goitre was 10.94% before prevention and cure in Linyi city.The average rate of goitre was 54.98% in infants aged 7-14, the chroma of urine iodin was among 23.9-32.21a, g/gCr in denizen, fountain content iodin was 0-6.96μ g/L, the siken rate and fountain content iodin was bear correlation r=-0.7128,P〈0.05; The rate of eligibility iodized salt raised from 72.72% to 94.28%, children IDD failed from 37.70% to 3.89% and the chroma of urine iodin raised from 35.23μg/gCr to 266.56μg/L since the whole civilian used iodized salt from 1980 to 2005, total emphases confluence taking iodized oil were 4 212 374 person. Times from 1994 to 1996, average rate was 84.1%; the rate of public knowing prenvention and cure common sense raise from 70.14% in 1985 to 94.28% in 2005. Conclusion Carrying out colligate prevention and cure step, basing continuance mechanism of prevention and cure of IDD are manipulable to keep eliminating IDD for long-term in a larger district.