2001～2006年台州市碘缺乏病监测结果分析

Results of monitoring of iodine deficiency in Taizhou City in 2001-2006

目的对现行食盐加碘防治碘缺乏病措施下碘缺乏病病情势态及重点人群碘营养状态进行分析，科学地指导和评价防治措施的效果。方法采用整群抽样调查方式，监测对象为儿童和加工／批发及居民户食盐，监测指标包括甲肿率、尿碘、盐碘等。结果8～10岁儿童甲肿率6年来最高为2．82％，尿碘中位数在192．66—274．491μg／L之间；加工层次碘盐或批质量合格率达到93．28％～100％；居民户合格碘盐食用率近二年均在90％以上。结论台州市碘缺乏病病情呈稳定势态，重点人群碘营养状况良好，现行食盐加碘防治碘缺乏病的措施行之有效，盐碘浓度适合台州市现状，今后应继续加强碘盐监测和管理，大力开展防治碘缺乏病宣传教育工作，巩固消除成果。

Objective To survey status of iodine deficiency disorders （IDD） in Taizhou City. Methods Children were selected by cluster sampling method and the thyroid goiter rate （TGR） and the levels of urinary iodine were detected respectively. The level of iodine in the iodized salt under processing, on market and in the houses of inhabitant were also detected at the same time. Results The highest TGR in children aged 8 - 10 years was 2.82% during the past 6 years and the median urinary iodine concentration was between 192. 66μg/L and 274.49μg/L. The rate of qualified processing or wholesale iodized salt ranged from 93.28%-100% ; The market coverage and consumption rate in population of qualified iodized salt was increasing, both over 95% and 90% respectively in the past two years. Conclusion The measurement for control and prevention of IDD with iodized salt supply is effective. The iodized salt is qualified The management of iodinized salt be stengthened for elimination of IDD and consolidating the success that has been achieved.