摘要
目的了解郑州市碘缺乏病和人群碘营养现状,为制定针对性防治措施提供科学依据。方法按照《河南省碘缺乏病监测方案》要求,开展孕妇及8~10岁学生尿碘及居民户盐碘含量调查,并采用B超法做学生甲状腺肿大率检测。结果2017-2019年居民碘盐覆盖率分别为96.61%、98.85%、98.64%;碘盐合格率分别为94.13%、96.57%、95.77%;合格碘盐食用率分别为90.94%、95.45%、95.24%,差异有统计学意义(χ2=80.535,P<0.05);8~10岁儿童尿碘中位数分别为219.59、208.31、201.09μg/L,差异有统计学意义(H=224.765,P<0.05);孕妇尿碘中位数分别为193.62、174.16、175.33μg/L,差异有统计学意义(H=14.117,P<0.05);儿童甲肿率分别为0.5%、1.08%、0.1%,差异有统计学意义(χ2=6.451,P<0.05)。结论郑州市碘缺乏病监测指标达到国家消除目标要求,孕妇碘营养水平处于适宜状态,但儿童碘营养水平处于超适宜临界值,需密切关注,做到科学补碘。
Objective To understand the status quo of iodine deficiency disorders and iodine nutrition of the population in Zhengzhou,and provide scientific evidence for the formulation of targeted prevention and treatment measures.Methods According to the requirements of"Surveillance Program of Iodine Deficiency Disorders in Henan Province",the urinary iodine content in pregnant women and 8-10-year-old students and household salt iodine content were investigated,and the rate of goiter in students was based on the detection by B-ultrasound.Results In 2017,2018 and 2019,the coverage rates of iodized salt were 96.61%,98.85%and 98.64%,and the qualified rates of iodized salt were 94.13%,96.57%and 95.77%,respectively;the consumption rates of qualified iodized salt were 90.94%,95.45%and 95.24%,respectively,and the difference was statistically significant(χ2=80.535,P<0.05);the median urinary iodine in 8-10-year-old children was 219.59,208.31 and201.09μg/L,respectively,and the difference was statistically significant(H=224.765,P<0.05);the medians of urinary iodine in pregnant women were 193.62,174.16 and 175.33μg/L,and the difference was statistically significant(H=14.117,P<0.05);the prevalence rate of goiter in children was 0.5%,1.08%and 0.1%,and the difference was statistically significant(χ2=6.451,P<0.05).Conclusion The results showed that the surveillance indexes of iodine deficiency disorders in Zhengzhou reached the national elimination goal,and the iodine nutrition level in pregnant women was in an appropriate state,but the iodine nutrition level in children was above appropriate critical value,which should be paid close attention to for scientific iodine supplement.
作者
陈伟博
魏建军
潘贵成
张月泉
刘江华
CHEN Weibo;WEI Jianjun;PAN Guicheng;ZHANG Yuequan;LIU Jianghua(Zhengzhou Center for Disease Control and Prevention,Zhengzhou 450000,China)
出处
《河南预防医学杂志》
2021年第5期394-396,共3页
Henan Journal of Preventive Medicine
关键词
碘缺乏病
尿碘
盐碘
甲状腺肿大率
监测
Iodine deficiency disorders
Urinary iodine
Salt iodine
Prevalence rate of goiter
Monitor
