平顶山市碘缺乏病防治结果评价

Evaluation of results in control of iodine deficiency disorders in Pingdingshan City

目的开展碘缺乏病病情监测,对消除碘缺乏病防治效果进行评价。方法抽取平顶山市汝州、郏县,采用人口比例慨率抽样法(PPS),在两县各抽取40名8～10岁学生作为调查对象,B超法检测学生甲状腺肿大情况,同时进行智商检测,并测定其尿碘;采集其家中食用盐样测定含碘量及食盐摄入量情况,检测水碘含量;采用问卷对学生和妇女进行健康教育调查。结果共检测80名8～10岁学生甲状腺,肿大率为3.75%(3/80);共检测80份盐样,其中居民户碘盐覆盖率、碘盐合格率、合格碘盐食用率分别为100%(80/80)、95%(76/80)、95%(76/80);检测尿样80份,尿碘中位数为139.4μg/L;80名学生智商为111.7±13.7;水碘监测4份,水碘中位数为7.2μg/L;60名学生及60名孕妇和哺乳期妇女健康教育知晓率分别为31.7%(57/180)和28.3%(51/180)。结论平顶山市碘缺乏病防治工作取得了明显成效,但似需加大健康教育宣传力度。

Objective To evaluate the results in control of iodine deficiency disorders in Pingdingshan city. Methods Forty pupils aged 8 -10 years were selected by probability sampling method （PPS） in the counties of Ruzhou and Jiaxian respectively.Their thyroids were examined by palpation and B ultrasound, urinary iodine, urine iodine, household salt iodine, and intelligence quotient were also investigated. A questionnaire-based health education survey of children and women was also conducted. Results A total of 80 samples aged 8 to 10 were detected. The goiter rate was 3.75%（3/80）. The residents of households iodized salt coverage rate, qualified rate and edible rate were 100% （80/80）,95% （76/80） and 95% （76/80） , respectively. The median urinary iodine was 139.4μg/L. Average IQ of those 80 children was 111.7＋ 13.7. The median water iodine was 7.2lxg/L. The health education awareness were 31.7% （57/180） and 28.3% （51/180） for 60 students and 60 gravidas and lactating women,respectively. Conclusions The control effect of iodine deficiency disorders is significant in Pingdingshan. It is important to strengthen health education.