摘要
目的研究2019—2021年杭州市临安地区学龄儿童碘缺乏病监测结果,以期为临床制定、调整干预策略与防治措施提供参考。方法选择2019年1月至2021年12月杭州市临安地区661例学龄儿童作为观察对象,采集儿童家庭食用盐样本和即时尿液样本,通过国家统一标准对盐碘、尿碘含量进行监测,并经B超法检测儿童甲状腺容积,统计不同年份、不同性别与不同年龄段儿童的盐碘、尿碘含量与甲状腺肿大发生率。结果共监测661份学龄儿童家庭食用盐样本、尿碘样本,盐碘中位数是24.93 mg/kg,尿碘中位数是168.95μg/L;2019—2021年杭州市临安区学龄儿童家庭食用盐的碘盐覆盖率、碘盐合格率、合格碘盐食用率分别是99.09%、97.71%、96.82%;男性、女性学龄儿童的尿碘分布频数对比差异有统计学意义(P<0.05);661例儿童甲状腺检查结果显示,20例儿童检出甲状腺肿大,甲状腺肿大检出率是3.03%(20/661)。结论2019—2021年杭州市临安地区学龄儿童的碘营养水平整体适宜,碘缺乏病监测结果符合国家消除标准。但仍有少数儿童的碘营养处于较低水平,需强化盐碘、尿碘监测,并提高碘缺乏病相关知识宣传教育力度。
Objective To study the monitoring results of iodine deficiency disorders in school-age children in Lin’an,Hangzhou from 2019 to 2021,in order to provide reference for clinical formulation,adjustment of intervention strategies and prevention measures.Methods A total of 661 cases of school-age children in Lin’an area of Hangzhou City from January 2019 to December 2021 were selected as observation objects.To collect children’s household salt samples and instant urine samples,monitor salt iodine and urine iodine content according to the national unified standard,and detect children’s thyroid volume by B-ultrasound.The salt iodine,urine iodine content and the incidence of goiter in children of different years,genders and age groups were counted.Results A total of 661 cases of household salt samples and urine iodine samples of school-age children were monitored,and the median salt iodine was 24.93 mg/kg,and the median urine iodine was 168.95μg/L;From 2019 to 2021,the coverage rate of iodized salt,the qualified rate of iodized salt,and the consumption rate of qualified iodized salt in households of school-age children in Lin’an District,Hangzhou City were 99.09%,97.71%and 96.82%,respectively;There was difference in the frequency of urinary iodine distribution between male and female school-age children(P<0.05);Thyroid examination results of 661 children showed that goiter was detected in 20 children,and the detection rate of goiter was 3.03%(20/661).Conclusion The iodine nutrition level of school-age children in Lin’an area of Hangzhou City from 2019 to 2021 is generally suitable,and the monitoring results of iodine deficiency disorders meet the national elimination standards.However,there are still a small number of children whose iodine nutrition is at a low level.It is necessary to strengthen the monitoring of salt iodine and urinary iodine,and to improve the publicity and education of iodine deficiency diseases.
作者
方建强
赖敏飞
欧阳晓洁
芮鸿飞
FANG Jian-qiang;LAI Min-fei;OUYANG Xiao-jie;RUI Hong-fei(Department of Health Inspection,Lin'an District Center for Disease Control and Prevention,Hangzhou,Zhejiang 31000,China)
出处
《中国地方病防治》
CAS
2022年第3期231-234,共4页
Chinese Journal of Control of Endemic Diseases
关键词
学龄儿童
碘缺乏病
尿碘
甲状腺肿大
School-age children
Iodine deficiency disorders
Urinary iodine
Goiter
