摘要
[目的]了解滨州市实施全民食盐加碘(USI)措施后不同人群碘营养状况。[方法]2011年,对滨州市6县1区采用分层整群抽样的方法抽取1 240名一般人群、儿童、孕妇和哺乳期妇女进行尿碘检测,并抽取200名8～10岁儿童做甲状腺彩超诊断,按照全国《碘盐监测工作方案》的抽样方法进行盐碘检测。[结果]2011年共检测2 028户居民食用盐,合格碘盐1 827份,非碘盐140份,不合格碘盐61份,合格碘盐食用率90.08%,碘盐合格率为96.76%,碘盐覆盖率为93.09%。碘盐中位数为26.30mg/kg;一般人群尿碘含量为24.30～1 225.30μg/L,中位数为201.70μg/L;8～10岁儿童尿碘中位数为217.80μg/L,50μg/L以下的占3.59%,甲状腺肿大率2.00%;孕妇尿碘中位数181.80μg/L;哺乳期妇女尿碘中位数为173.20μg/L;滨州市一般人群、8～10岁儿童、孕妇及哺乳期妇女尿碘中位数均达到《碘缺乏病消除标准》100μg/L以上的标准,但孕妇、哺乳期妇女作为碘缺乏的敏感人群分别有27.50%和25.00%尿碘值低于《碘缺乏病考核评估标准》,有4.58%的孕妇、哺乳期妇女尿碘值低于50.00μg/L。[结论]建议将孕妇、哺乳期妇女的碘营养监测纳入到常规监测中,根据检测结果,及时进行补碘。
[Objective]To understand the iodine nutrition status after the implementation of universal salt iodization （USI） measures among populations in Binzhou city. [Methods]In 2011,1 240 children,pregnant and lactating women were sampled with stratified cluster sampling method from six counties in Binzhou city for urinary iodine examination,and 200 children aged 8-10 were samp led for thyroid diagnosis by color Doppler ultrasound,the sampling method was used in ac- cordance with the national iodized salt monitoring program for salt iodine test. [Results]In 2011, a total of 2 028 house- holds were involved in detection of edible salt, 1 827 were qualified iodized salt, non iodized salt 140, unqualified iodized salt 61 ,the rate of qualified iodized salt was 90.08% ,the qualified rate of iodized salt was 96.76% the coverage rate of iodized salt was 93.09 %. The median was 26.30 mg/kg in iodized salt;in the general population, the urinary iodine content was 24.30-1 225.30 μg/L, the median was 201.70μg/L; in the 8-10 years old children, the median of urinary iodine was 217.80 μg/L, 50 μg/L and below accounted for 3.59 %, the goiter rate was 2.00 %;the median of urinary iodine in pregnant women was 181.80/,g/L;in lactating women, the median urinary iodine was 173.20μg/L;among the general population in Binzhou,8-10 years old children, pregnant and lactating women, the urinary iodine median had reached criteria for elimination of iodine deficiency disorders 100 μg/L above the standard, but the pregnant, lactating women as iodine defi- ciency sensitive populations were 27.50% and 25 % urinary iodine values below iodine deficiency disease assessment crite- ria,4. 58 M of pregnantand lactating women had urinary iodine values below 50μg/L. [Conclusion]It is recommended that the pregnant and lactating women＇s monitoring on iodine nutrition should be incorporated into conventional monitoring.
出处
《预防医学论坛》
2012年第12期921-922,共2页
Preventive Medicine Tribune
关键词
碘盐
碘营养
Salt iodine
Iodine nutrition
