摘要
目的分析2017—2021年平顶山市湛河区碘缺乏病监测结果,为科学防控碘缺乏病提供依据。方法选取平顶山市湛河区,按东、西、南、北、中划分5个抽样片区,在每个片区随机抽取1个乡镇/街道,每个乡镇/街道抽取1所小学校,每所小学抽取8~10岁非寄宿儿童40人,每个监测乡中各抽取20名孕妇。采集儿童和孕妇尿样及家中食用盐样,检测碘含量,B超法检查儿童甲状腺容积。结果2017—2021年共监测学生和孕妇家庭食用盐1505份,碘盐覆盖率为96.21%,合格碘盐食用率为89.77%,碘盐合格率为93.30%,碘盐的均数为(27.54±8.56)mg/kg。检测适龄儿童尿样1005份,尿碘中位数为149.0μg/L。检测孕妇尿样500份,尿碘中位数为146.8μg/L。儿童甲状腺肿大率为0.25%。结论平顶山市湛河区重点人群碘营养水平符合监测要求,继续加强重点人群碘营养水平监测,巩固碘缺乏病消除成果。
Objective To analyze the monitoring results of iodine deficiency disorders in Zhanhe District of Pingdingshan City from 2017 to 2021,and to provide a basis for scientific prevention and control of iodine deficiency diseases.Methods Zhanhe District of Pingdingshan City was selected and divided into 5 sampling areas according to the east,west,south,north and middle.One township/street was randomly selected in each area,1 primary school was picked out from each township/street,40 non-boarding children aged 8-10 years were chosen from each primary school,and 20 pregnant women were singled out from each township monitored.Urine samples from the children and pregnant women and edible salt samples from their homes were collected to detect iodine levels,and B-ultrasound was used to check the thyroid volume of the children.Results A total of 1,505 pieces of iodized salt from homes of the students and pregnant women were monitored from 2017 to 2021,and the coverage rate of iodized salt,the consumption rate of eligible iodized salt and the qualified rate of iodized salt were 96.21%,89.77%and 93.30%,respectively.The mean value of iodized salt was(27.54±8.56)mg/kg.1,005 urine samples from school-age children were detected,and the median of urinary iodine was 149.0μg/L.500 urine samples from the pregnant women were detected,and the median of urinary iodine was 146.8μg/L.The prevalence rate of goiter in the children was 0.25%.Conclusion Iodine nutrition level of the key population in Zhanhe District of Pingdingshan City met the monitoring requirements.It is necessary to continuously strengthen the surveillance on iodine nutrition level of the key population so as to consolidate the achievement of eliminating iodine deficiency disorders.
作者
李文灿
LI Wen-can(Zhanhe District Center for Disease Control and Prevention,Pingdingshan,Henan 467000,China)
出处
《实用预防医学》
CAS
2023年第4期457-459,共3页
Practical Preventive Medicine
关键词
盐碘
尿碘
碘缺乏病
监测
salt iodine
urinary iodine
iodine deficiency disorder
monitoring
