2016年广西碘缺乏病监测情况分析

Surveillance Results of Iodine Deficiency Disordersof Guangxi Province in 2016

目的了解广西碘缺乏病防治效果,为科学调整干预措施提供依据。方法采用PPS抽样方法抽取37个县(市、区)开展人群碘营养和碘缺乏病病情监测。结果对7 422名8~10岁儿童及3 702名孕妇开展调查,碘盐中位数为23.60 mg/kg,合格碘盐食用率为93.48%,儿童甲肿率为0.62%,儿童尿碘中位数为186.1μg/L,孕妇尿碘中位数为137.0μg/L。结论食盐加碘含量调整后,广西8~10岁儿童碘营养总体处于适宜水平,但对于孕妇略显不足;应加强对广西碘盐生产企业的监管,提高市售合格碘盐率,做好科学补碘宣传教育,确保广西碘缺乏病可持续达到消除标准。

Objective Tounderstandthe prevention and control effectiveness of iodine deficiency disordersin Guangxi provinceso as toprovide somereferences for adjusting intervention strategyscientifically.Methods 37 counties were sampled to carry out iodine nutrition monitoring and illness monitoring by PPS method.Results A total of 7,422 childrenaged from 8 to10 years and 3,702 pregnant women were investigated.The median of salt iodine was 23.60 mg/kg,the consumption rate of qualified iodized salt was 93.48%, the goiter rate of children was 0.62%,the medians of urine iodine of children and pregnant women were 186.1 and 137.0 μg/L respectively.Conclusions After the adjustment of salt iodine content, iodine nutrition status of childrenaged from 8 to10 yearsis at appropriate level in general,but it is slightly deficient for pregnant women.After the reform of the salt industry system, new challenges for the prevention and control of iodine deficiency disease in Guangxi will be putforward.We should strengthen the supervision over the manufacturing enterprises of iodized salt,increase the qualified iodized salt rate on the market,strengthen scientific iodine supplement,carry out scientific iodine supplement propaganda and education actively and ensure that iodine deficiency disorders in Guangxi to meet the elimination standard.