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重庆市消除碘缺乏病对策与措施的探讨 被引量:6

Discuss ion on countermeasure and measure of preventing iodine deficiency disorders in Chongqing
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摘要 目的研究消除碘缺乏病的对策与措施,评价效果。方法1994~1996年对重点人群进行口服碘油尤,1997年起全民普供碘盐,重点地区综合干预,逐年开展碘盐监测,抽样监测儿童甲状腺肿大率、智商、尿碘,评价防治效果。结果2001~2007年,居民碘盐覆盖率为94.2%~98.4%,合格碘盐食用率为83.5%~94.1%;儿童甲状腺肿大率由1994年的43.2%(触诊)显著降至2005年的10.5%(触诊)和9.9%(B超),2007年再降至7.8%(触诊)和7.3%(B超),尿碘近7年稳定在250μg/L左右,智商由2002年的103.2显著提高至2005年的106.3,2007年实现基本消除碘缺乏病阶段目标。结论全民普供碘盐和碘盐监测为主的碘缺乏病防治对策与措施取得显著成效。 Objective To study the measure of universal salt iodization to prevent iodine deficiency disorders and to evaluate the effect. Methods From 1994 to 1996 using iodized oil in kids of phase and area,from 1997 using iodized salt,comprehensive intervention was used in particular area. The thyroid volume of children,IQ, urinary iodine were surveyed and the effects of prevention were evaluaed. Results From 2001 to 2007, the coverage rate of iodine salt was 94.2 % --98.4%,the rate of using qualified iodine salt ranged 83.5%-94.1% ,the thyroid total goiter rate decreased from 43.2% to 10.5% by palpation,to 9.9% By B-ultrasound. , to 7.8% by palpation and 7. 3% by B-ultrasound in 2007. The median of urinary iodine remained steadily. The IQ was improved from 103.2(2002) to 106.3(2005) remarkably. Conclusion The effect of universal salt iodization and iodized salt measure to prevent iodine deficiency disorders is remarkable.
出处 《重庆医学》 CAS CSCD 北大核心 2009年第4期443-446,共4页 Chongqing medicine
基金 重庆市科技攻关计划项目基金资助项目(CSTC 2008AB5054)
关键词 碘缺乏病 碘盐 甲状腺肿大率 尿碘 智商 iodine deficiency disorders iodized salt iodized salt surveillance urinary iodine total goiter rate intelligence quotient
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