摘要
目的及时掌握大面积改水后不同地区儿童碘营养水平,为采取针对性防治措施和科学调整干预策略提供依据。方法2018年4~9月在德州市高碘地区和非高碘地区设点对学龄儿童进行碘营养和相关因素调查,采集其水样、尿样、食用盐样并进行碘含量检测,B超法检查儿童甲状腺。结果调查学龄儿童1585名,高碘地区儿童507名,非高碘地区儿童1078名;男童780名(占49.21%),女童805名(占50.79%);年龄为7~12岁,其中8~11岁1512名,占儿童总数的95.39%。高碘地区和非高碘地区儿童的年龄、性别分布基本一致。高碘地区完全停供碘盐,水碘中位数为25.88μg/L,尿碘中位数为177.83μg/L,儿童甲状腺肿大率为5.33%;非高碘地区碘盐合格率为83.21%,儿童家庭食用盐碘含量中位数为23.62 mg/kg,水碘中位数为20.81μg/L,尿碘中位数为212.79μg/L,儿童甲状腺肿大率为4.36%。结论德州市改水效果明显,儿童碘营养水平基本处于适宜水平,甲状腺肿大率得到有效控制,部分学生碘过量。
Objective To grasp the iodine nutrition level of residents in different areas after large area water change in time,so as to provide the basis for taking targeted prevention and control measures and scientific adjustment intervention strategy.Methods In 2018,school-age children were investigated for iodine nutrition and related factors at a site in high iodine and non-high iodine areas of Dezhou city,water samples,urine samples,edible salt samples were collected for iodine content testing,and the B-super method was used to check the thyroid gland of children.Results A total of 1585 school-age children were investigated,including 507 children from high iodine areas and 1078 from low iodine areas;there were 780 boys(49.21%)and 805 girls(50.79%);the age ranged from 7 to 12 years old,of which 1512 were 8 to 11 years old,accounting for 95.39%of the total number of children.The age and gender distribution of children in high iodine areas and non-high iodine areas were basically the same.Iodized salt was completely stopped in areas with high iodine content,and the median water iodine was 25.88μg/L,the median urine iodine was 177.83μg/L,the goiter rate in children was 5.33%;the qualified rate of iodized salt in non-high-iodine areas was 83.21%,the median salt iodine content in children’s households was 23.62 mg/kg,the median water iodine content was 20.81μg/L,the median urine iodine was 212.79μg/L,and the rate of goiter in children was 4.36%.Conclusion The effect of water change in Dezhou city is significant,children’s iodine nutrition level is basically at the appropriate level,thyroscopic goiter rate is effectively controlled,and some students have excess iodine.
作者
尹胜利
李敏
尹伟花
高志坚
曹静
王莹
王龙飞
YIN Sheng-li;LI Min;YIN Wei-hua;GAO Zhi-jian;CAO Jing;WANG Ying;WANG Long-fei(Dezhou City Center for Disease Control and Prevention,Dezhou,Shandong,253016,China)
出处
《预防医学论坛》
2022年第1期38-40,共3页
Preventive Medicine Tribune
基金
德州市农村改水后高碘和非高碘混杂地区人群碘营养研究(项目编号:2017WS150)。
关键词
碘缺乏病
甲状腺肿
尿
儿童
Iodine deficiency disease
Goiter
Urine
Children
