2002年西藏碘缺乏病监测资料汇总分析报告

Analysis of IDD Surveillance in Tibet autonomy region in 2002

目的 评价全民食盐加碘和投服碘丸对西藏碘缺乏病防治效果。方法 采用容量比例概率法在全区调查了 3 5个县 13 96名 8～ 10岁儿童的甲状腺肿大率 (触诊法 ) ,2 82 5份盐样 ,440份尿碘 ,1516份 15～ 49岁育龄妇女尿碘。结果 儿童甲状腺肿大率为 13 .9% ,儿童尿碘中位数为 93 .7μg/L,15～ 49岁育龄妇女尿碘中位数为 51.3μg/L ,合格碘盐覆盖率为 2 6.3 %。结论 实施以全民食盐加碘为主投服碘油丸为辅的综合干预措施 4年后 ,西藏碘缺乏病病情已明显下降 。

Objective To assess the preventive effect of universal salt iodization and iodine capsules for iodine deficiency disorders (I DD) in Tibet.Methods The goiter rate in 1 396 children,salt iodine l evels of 2825 households and the urine iodine levels in 440 children aged 8~10 years and women 15~59 years.Results The goiter rate of children was 13.9%% by neck palpation,the Median urinary iodine level was 93.7 μg/L among children and 51.3 μg/L among women,and the consumption rate of qualified iodized salt was 26.3%.Conclusions According to the clinical and biochemical i ndicatiors,the prevalence rate of IDD declined considerably in Tibet after four years through the recommended intervention,universal salt iodization,the iodine capsules was assistant.But to reach Tibet criteria of IDD eradication,it will ta ke more time.