摘要
目的分析江西省抚州市碘缺乏病监测结果,掌握全市重点人群的碘营养水平,评估全市在碘缺乏病方面的防治效果。方法2017-2019年,在江西省抚州市所辖县区,每个县区划分5个抽样片区(东、西、南、北、中),每个片区抽取1个乡,每个乡抽取1所小学,每所小学抽取8~10岁儿童40名;同时在每个片区抽取20名孕妇。分别采集儿童和孕妇家中食用盐盐样及尿样,测定盐碘和尿碘含量,并采用B超法检查儿童甲状腺。结果共检测儿童家中盐样6001份,盐碘中位数为24.60 mg/kg,碘盐覆盖率达到99.77%(5987/6001),合格碘盐食用率为96.20%(5773/6001);共检测孕妇家中盐样3000份,盐碘中位数为24.81 mg/kg,碘盐覆盖率达到99.97%(2999/3000),合格碘盐食用率为96.97%(2909/3000)。共检测儿童尿样6001份,尿碘中位数为172.23μg/L;共检测孕妇尿样3000份,尿碘中位数为178.35μg/L。2017-2019年儿童甲状腺肿大率分别为1.00%(8/800)、1.33%(8/600)、1.12%(9/800)。结论江西省抚州市儿童和孕妇的碘营养水平适宜,达到了碘缺乏病消除标准要求。
Objective To analyze the surveillance results of iodine deficiency disorders in Fuzhou City,Jiangxi Province,so as to master the iodine nutrition level of key population and evaluate the prevention and treatment effect of iodine deficiency disorders in the city.Methods From 2017 to 2019,counties(districts)under the jurisdiction of Fuzhou City in Jiangxi Province were divided into five sampling areas(east,west,south,north,and central).A township was selected in each area,and a primary school was selected in each township.Forty children aged 8 to 10 were elected in each primary school.At the same time,20 pregnant women were selected from each area.Home salt samples and urine samples of children and pregnant women were collected to determine the contents of salt iodine and urinary iodine,and the thyroid of children was examined by B-mode ultrasonography.Results A total of 6001 salt samples from children's homes were tested.The median iodine content of children's home salt samples was 24.60 mg/kg,the coverage rate of iodized salt reached 99.77%(5987/6001),and the edible rate of qualified iodized salt was 96.20%(5773/6001).A total of 3000 salt samples from pregnant women's homes were tested.The median iodine content of pregnant women's home salt samples was 24.81 mg/kg,the coverage rate of iodized salt reached 99.97%(2999/3000),and the edible rate of qualified iodized salt was 96.97%(2909/3000).A total of 6001 children's urine samples were tested,and the median urinary iodine was 172.23μg/L.A total of 3000 pregnant women's urine samples were tested,and the median urinary iodine was 178.35μg/L.The rate of goiter in children was 1.00%(8/800)in 2017,1.33%(8/600)in 2018,and 1.12%(9/800)in 2019.Conclusion The iodine nutrition level of children and pregnant women in Fuzhou City of Jiangxi Province is suitable and meets the requirements of iodine deficiency disorders elimination standard.
作者
李德富
上官俊
俞玉琪
卢曲琴
Li Defu;Shangguan Jun;Yu Yuqi;Lu Quqin(School of Public Health,Jiangxi Provincial Key Laboratory of Preventive Medicine,Nanchang University,Nanchang 330006,China;Institute for Endemic Disease Prevention and Control,Jiangxi Provincial Center for Disease Prevention and Control,Nanchang 330029,China)
出处
《中华地方病学杂志》
CAS
北大核心
2022年第6期480-483,共4页
Chinese Journal of Endemiology
关键词
碘
缺乏症
盐类
尿
甲状腺肿
监测结果
Iodine
Deficiency disease
Salts
Urine
Goiter
Surveillance results
