摘要
目的 评价四川省阿坝州碘缺乏病实现控制和消除目标进展，根据评价结果，确定碘缺乏病分类防控策略，实施防控 工作精细化。方法 根据《四川省地方病防治“十二五”规划终期考核评估方案》要求，2015年3 - 6月在阿坝州13个县（市），开 展终期考核评估，进行管理指标评分。每个县（市）按东、西、南、北、中5个方位各抽取1个乡（镇），每个乡（镇）抽取4个行 政村，每个行政村抽检15户居民家中食盐样品，采用仲裁法（GB／T 13025.7-1999）检测盐碘含量。在所抽取的乡（镇）各抽取1 所村小学，每所小学抽取40名8 - 10岁儿童（男、女各半）尿样，采用砷铈催化分光光度法（WS／T 107-2006）检测尿碘含量；并 用触诊法检查儿童甲状腺肿大情况。在所抽取的乡（镇）各抽取20名孕妇的尿样，检测尿碘含量；同时，在每个乡（镇）开展尿碘 含量检测的孕妇中，各抽取10人进行问卷调查，了解孕妇健康教育知识知晓情况。结果 阿坝州县级管理指标平均分为92分。共抽 取居民盐样3 941份，盐碘中位数为28.8 mg／kg，合格碘盐食用率为96.6%（3 806／3 941），碘盐覆盖率为99.6%（3 927／3 941 ）。共检测儿童尿样2 866份，尿碘中位数为160.0 μg／L，尿碘 〈 50 μg／L的占4.6%（131／2 866）；共检查儿童甲状腺2 819 人，甲状腺肿大率为0.7%（19／2 819）。共检测孕妇尿样1 143份，尿碘中位数为188.3 μg／L，尿碘 〈 150 μg／L的占27.9%（ 319／1 143）；共收集调查问卷650份，孕妇健康教育知识知晓率为78.3%（1 527／1 950）。结论 阿坝州持续保持消除碘缺乏病 状态，人群碘营养状况较好，但需进一步加强碘盐市场监管和健康教育工作。
Objective To assess the progress of control and elimination of iodine deficiency disorders （IDD） in Aba Prefecture, Sichuan Province, in order to make classified and refined strategy in prevention and control of the disease. Methods According to the project of ＂Assessment on Endemic Disease of the Twelfth Five Years Project in Sichuan Province＂, the last assessment was carried out. From March to June 2015, the management indicators were graded in 13 counties （cities） of Aba Prefecture, 1 township （town） was chosen according to the east, west, south, north, and centre of 5 directions of each county （city）, 4 administrative villages were chosen in each township （town）, salt samples from 15 households were collected in each administrative village, and the content of salt iodine was tested based on the arbitration law （GB/T 13025.7-1999）. One primary school was chosen in each township （town）, urine samples of 40 children aged 8 - 10 （half males and half females） were collected, arsenic cerium catalytic spectrophotometry （WS/T 107-2006） was used to test the content of urinary iodine; and palpation method was used to check goiter. Urine samples of 20 pregnant women were collected in the selected township （town）, and the content of urinary iodine was determined; at the same time, of the pregnant women who had been checked urinary iodine levels, 10 individuals were selected to conduct a questionnaire survey to understand the health education of pregnant women. Results The average score of management indicators was 92. A total of 3 941 salt samples were collected, the median of salt iodine was 28.8 mg/kg, the consumption rate of qualified iodized salt was 96.6% （3 806/3 941）, and the rate of iodized salt was 99.6% （3 927/3 941）. A total of 2 866 urine samples of children were tested, the median of urinary iodine was 160.0 μg/L, and 〈 50 μg/L was 4.6% （131/2 866）; the thyroid enlargement rate was 0.7% （19/2 819）. A total of 1 143 urine samples of pregnant women were tested, the median of urinary iodine was 188.3 μg/L, and 〈 150 μg/L was 27.9% （319/1 143）; a total of 650 questionnaires were collected, awareness of pregnant women＇s health education was 78.3% （1 527/1 950）. Conclusion Aba Prefecture continues to eliminate IDD, and the iodine nutrition status of the population is better, but it is necessary to further strengthen supervision on iodized salt market and health education.
作者
秦胜超
张霞
Qin Shengchao;Zhang Xia(Department of Endemic Disease, Aba Prefecture Center for Disease Control and Prevention, Maerkang 624000, Chin)
出处
《中华地方病学杂志》
CAS
CSCD
北大核心
2018年第6期477-480,共4页
Chinese Journal of Endemiology
关键词
儿童
孕妇
甲状腺
碘
盐类
尿
考核评估
Child Pregnant women Thyroid gland Iodine Salts Urine Assessment
