摘要
目的为了解目前洛阳市碘缺乏病防治效果,掌握8~10岁儿童及孕妇不同孕期碘营养水平,为科学补碘提供可靠依据。方法按照《2016年洛阳市碘缺乏病监测方案》抽取5个县(市、区)的25个乡(镇、街道),随机抽取8~10岁儿童1024人,B超法测量甲腺容积,检测尿碘含量及家中食用盐碘含量;随机抽取孕妇508人检测尿碘含量及家中食用盐碘含量。结果检测食用盐样1522份,碘盐合格率91.77%,碘盐覆盖率98.16%;B超法测量8~10岁儿童甲状腺容积1024人,肿大率4.52%;检测8~10岁儿童尿样1024人,尿碘中位数212.9μg/L,检测孕妇尿样504份,尿碘中位数183.9μg/L。结论洛阳市碘缺乏病防治各项指标达到全国消除碘缺乏病标准,但妇女妊娠早期处于缺碘状态,今后需加强孕妇孕期内定期监测尿碘,以满足妊娠妇女自身及胎儿的碘营养需求,保护胎儿脑发育。
Objective The study was used to realize the current effect of prevention and treatment of iodine deficiency disorders（ IDD） in Luoyang City, to master the iodine nutrition levels of children aged 8 to 10 years and pregnant women during different pregnancy and to provide a reliable basis for scientific iodine supplementation.Methods According to ＂the monitoring program of Luoyang City in 2016＂, 5 counties and 25 towns（ or streets） were sampled, and 1024 children aged 8 to 10 years were stochastically extracted to measure thyroid volume by type-B ultrasonic, urinary iodine content and iodine content of edible salt in their home; 508 pregnant women were selected by random drawing to measure urinary iodine content and iodine content of edible salt in their home.Results In this study, 1522 edible salt samples were tested, the percent of qualified iodized salt was 91.77%,the fraction of coverage of iodized salt was 98.16%; the goiter rate of 1024 children aged 8 to 10 years measured thyroid volume by B-ultrasonography was 4.52%; 1024 8 to 10 years old children＇s urinary iodine median and 508 pregnant women＇s were 212.9 μg/L and 183.9 μg/L respectively.Conclusion The indicators of IDD prevention and treatment（ control） in Luoyang City has been up to the national standard for the elimination of IDD, however, the lack of iodine is in the early stages of pregnancy, so the regular monitoring of pregnant women＇s urinary iodine during pregnancy will be strengthened in the future to meet iodine nutrition needs of pregnant women and their fetus and to protect fetal brain development.
作者
王彩霞
康建山
姚巧玲
WANG Cai-xia,KANG Jian-shan,YAO Qiao-ling(Luoyang Center for Disease Control and Prevention, Luoyang 471000, Chin)
出处
《中国地方病防治》
CAS
2018年第1期10-12,共3页
Chinese Journal of Control of Endemic Diseases
关键词
碘营养
碘缺乏监测
盐碘尿碘
甲状腺
Inodine nutrition
Monitoring of iodine deficiency
Salt iodine
Urinary iodine
Thyroid
