2013年井研县碘缺乏病监测结果分析

Monitoring Results of Iodine Deficiency Disorders in Jingyan County,2013

目的掌握井研县碘缺乏病发病情况和人群碘营养状况,评价碘缺乏病防治效果,为制定进一步防治策略提供科学依据。方法在井研县按东、西、南、北、中5个方位各随机抽取1个乡,5个乡各随机抽取8～10岁儿童80名,40岁以下育龄妇女10名、孕妇10名、哺乳期妇女10名及其0～2岁婴幼儿,检测甲状腺肿大率、盐碘、尿碘;在抽取的5个乡中各抽取不相邻的2个村,每村随机抽取1份水样检测水碘,调查1个销售点;抽取县盐业支公司仓库9份盐样检测盐碘。结果 8～10岁学龄儿童触诊法甲状腺肿大率7.74%,育龄妇女、孕妇、哺乳期妇女、0～2岁婴幼儿及8～10儿童尿碘中位数分别为159.85μg/L、130.10μg/L、196.50μg/L、281.50μg/L和126.15μg/L。水碘中位数5.22μg/L。合格碘盐食用率为90%,碘盐覆盖率92%。零售点、盐库碘盐合格率100%。结论继续加强井研县碘盐市场监管、碘缺乏病监测、防治知识健康教育等工作,争取保持持续消除碘缺乏病的目标。

Objective To investigate the iodine deficiency disorders（ IDD） and the iodine nutritional status,and to evaluate the prevention and control effect of IDD for formulating prevention and control strategies. Methods One town was selected in the east,west,south,north and middle of the county and 80 8- 10 years old children,10 fertile women under 40 years old,10 pregnant women,and 10 breast feeding women and their infants were randomly selected in each town. The thyroid goiter,iodine salt and urinary iodine were measured. Two separated villages in each of the 5 towns were selected and one water sample in each village was selected randomly to detect the water iodine,additionally one point of sale in each village was surveyed. Nine iodine salt samples were selected in the county salt industry branch company. Results The thyroid goiter rate in the 8- 10 years old children was 7. 74%. The median urinary iodine of fertile women,pregnant woman,breast feeding women and 0- 2 years old infants were respectively 159. 85 μg / L,130. 10μg /L,196. 50 μg /L,281. 50 μg /L and 126. 15 μg /L. The median of water iodine was 5. 22 μg /L. The edible rate of iodine salt was 90% and the coverage rate was 92%. The qualified rate of retail salt and stock salt was both 100%.Conclusion The supervision of iodine salt,surveillance of IDD and prevention and health education should be continuously strengthened to maintain the extinction status of IDDS.