三门峡市碘缺乏病防治十二五规划中期考核评价

Mid-term assessment of the Twelfth Five-Year Plan to control iodine deficiency diseases in Sanmenxia city

目的了解三门峡市碘缺乏病防治十二五规划中期防治效果,为制订有针对性的碘缺乏病防治对策提供依据。方法在三门峡市所属6个县(市、区)的小学抽取8~10岁学生900名检查甲状腺,并采集其尿样和家庭食用盐样测定尿碘及盐碘;抽取5年级学生进行碘缺乏病知识健康教育问卷调查;采集小学所在村饮用水进行水碘检测,并对家庭主妇进行碘缺乏病知识健康教育问卷调查。结果 900名调查对象,甲状腺肿大率为3.11%(28/900),尿碘中位数为253.15μg/L;共检测盐样900份,碘盐覆盖率为99.89%(899/900),合格碘盐食用率为98.78%(889/900),非碘盐率为0.11%(1/900),盐碘中位数为28.2 mg/kg;共采集水样150份,水碘中位数为2.36μg/L;学生碘缺乏病知识健康教育问卷及格率为96.44%(868/900),家庭主妇碘缺乏病知识健康教育问卷及格率为98.33%(295/300)。结论三门峡市碘缺乏病防治十二五规划中期防治工作取得了明显的效果,各项监测指标均达到了国家消除碘缺乏病标准。

Objective To understand the effect of the Twelfth Five-Year Plan in mid-term to control iodine deficiency diseases in Sanmenxia City, and to formulate targeted control measures of iodine deficiency disorders. Methods In 2013, students aged 8 to 10 years in primary school of 6 counties(cities, districts) in Sanmenxia were randomly selected to check thyroid, and their urine and edible salt were collected to detect iodine. Students of 5th grade were selected to carry out the questionnaire survey of health education about iodine deficiency disorders. Potable water sample were selected to detect iodine in the village where the primary school was in. Questionnaire was also carried out among housewives in the village. Results Nine hundreds children aged 8 to 10 years were analyzed. The rate of goiter was 3.11%(28/900). The median of urinary iodine was 253.15 μg/L. Nine hundreds salt samples were detected. The coverage rate of iodized salt was 99.89%(899/900). The edible rate of qualified iodized salt was 98.78%(889/900). The coverage rate of non-iodized salt was 0.11%(1/900). The median of salt iodine was 28.2 mg/kg. One hundred and fifty water samples were collected, the median of water iodine was 2.36 μg/L. The pass rate of the questionnaire survey of health education about iodine deficiency disorders was 96.44%(868/900) in students and 98.33%(295/300) in housewives respectively. Conclusions Sanmenxia city has made obvious effect of iodine deficiency disease prevention work in mid Twelfth Five- Year Plan. The monitoring indicators have reached the national standard of eliminating IDD.