甘肃省合作市碘缺乏病防治进展

Prevention and treatment progress of iodine deficiency disorders in Hezuo city of Gansu Province

目的评价甘肃省合作市碘缺乏病防治措施和进展。方法对比分析合作市的碘缺乏病监测和调查数据。结果2000年和2009年评估结果,合作市非碘盐率从2000年的19.0%下降到2009年的1.7%,碘盐合格率和合格碘盐食用率分别从2000年的40.0%和32.4%上升到2009年的100%和98.3%,2000年和2009年8～10岁儿童触诊甲肿率分别9.0%和3.3%,尿碘中位数分别为73.2和124.9,组织管理总分分别为84.0和81.2,健康教育管理得分率从2000年的100.0%下降至2009年56.7%;2011年孕妇和哺乳期妇女的尿碘中位均为274.64和224.51μg/L,>300μg/L的比例分别为28.0%和16.0%。结论碘盐措施得到了很好的落实,形成了较好的管理和防治机制,但健康教育仍需加强,以保证防治效果的持续性。对合作市藏族地区重点人群做进一步监测和调查研究,综合分析各方面影响因素,以切实保证重点人群适宜的碘营养。

Objective To evaluate the control measures and progress of iodine deficiency disorders（IDD） in Hezuo city of Gansu Province. Methods To compare monitoring and investigation data of IDD in Hezuo city. Results The results showed that non - iodized salt rate decreased from 19.0% to 1.7% during 2000 to 2009, proportion of qualified iodized salt and consumption rate of the qualified iodized salt of the households rose from 40.0% and 32.4% in 2000 to 100% and 98.3% in 2009 respectively. The incidence rate of endemic goiter in children aged 8 to 10 years old were 9.0% and 3.3%. The urinary median iodine was 73.2μg/L and 124.9 μg/L, the organization and management scores were 84.0 and 81.2 in 2000 and 2009, and health education, management scores decreased from 100.0% in 2000 to 56.7% in 2009. The urinary median iodine of pregnant and lactating women were 274.64 μg/L and 224.51 μg/L, the ratio with iodine content over 300 μg/L were 28.0 % and 16.0% respectively. Conclusions The iodine salt measures have received good results, and health education should be sustained to essure appropriate iodine nutrition in focus groups based on further investigation and comprehensive analysis in Tibetan areas of Hezuo city.