摘要
目的了解河南省驻马店市碘缺乏病状况,为采取科学的干预措施提供依据。方法2016-2020年,每年在驻马店市9个县(区)设监测点,每个监测点按东、西、南、北、中5个方位各抽取1个乡镇/街道,每个乡镇/街道抽取1所小学,每所小学抽取40名8~10岁非寄宿儿童(男、女各半),采集尿样及其家中食用盐盐样进行碘含量测定;每个乡镇/街道抽取20名孕妇,采集尿样及其家中食用盐盐样进行碘含量测定;选取儿童和孕妇调查碘缺乏病防治知识知晓率;对儿童进行甲状腺B超检查;按照国家和省"加强科学补碘工作"要求,进行生活饮用水碘含量测定。结果2016-2020年,共检测盐样13500份,合格碘盐12453份,非碘盐246份。儿童和孕妇合格碘盐食用率分别为92.26%(8303/9000)、92.22%(4150/4500),非碘盐率分别为1.89%(170/9000)、1.69%(76/4500)。儿童尿碘中位数分别为208.91、179.02、222.85、203.50、230.50μg/L;孕妇尿碘中位数分别为182.01、153.26、178.72、196.82、178.75μg/L;儿童甲状腺肿大(甲肿)率为1.63%(49/3000),不同年龄段甲肿率比较差异无统计学意义(χ^(2)=0.47,P=0.790),不同性别甲肿率比较差异无统计学意义(χ^(2)=0.01,P=0.912)。碘缺乏病防治知识知晓率,儿童为94.68%(11916/12585),孕妇为91.75%(4537/4945)。共检测1572个行政村的27664份水样,水碘中位数为12.90μg/L,低碘村1383个、适碘村173个、高碘村16个。结论河南省驻马店市儿童碘营养超适宜量,孕妇碘营养适宜,结合水碘监测结果,建议继续开展碘缺乏病监测工作,巩固防治成果。
Objective To learn about the status of iodine deficiency disorders(IDD)in Zhumadian City,Henan Province,and to provide basis for scientific intervention measures.Methods From 2016 to 2020,monitoring sites were set up in nine counties(districts)of Zhumadian City,and a town/street was selected from each of the five directions of East,West,South,North and Middle at each monitoring site.One primary school was selected from each town/street,40 non-boarding children aged 8-10 years were selected from each primary school(half male and half female).In addition,20 pregnant women were selected from each town/street.Urine samples and edible salt samples at home were collected from these children and pregnant women for iodine determination.Some children and pregnant women were selected to investigate the awareness rate of IDD prevention and treatment knowledge.Thyroid B-ultrasound examination was performed in some children.Iodine in drinking water was determined according to the national and provincial requirements of"strengthening scientific iodine supplementation".Results From 2016 to 2020,a total of 13500 salt samples were tested,including 12453 qualified iodized salt samples and 246 non-iodized salt samples.The qualified iodized salt consumption rates of children and pregnant women were 92.26%(8303/9000)and 92.22%(4150/4500),respectively,and the non iodized salt consumption rates were 1.89%(170/9000)and 1.69%(76/4500),respectively.The median urinary iodine concentration of children were 208.91,179.02,222.85,203.50 and 230.50μg/L,respectively.The median urinary iodine concentration of pregnant women were 182.01,153.26,178.72,196.82 and 178.75μg/L,respectively.The goiter rate in children was 1.63%(49/3000),there was no significant difference between different age groups(χ^(2)=0.47,P=0.790),and between different genders(χ^(2)=0.01,P=0.912).The awareness rate of IDD prevention and treatment knowledge was 94.68%(11916/12585)in children and 91.75%(4537/4945)in pregnant women.A total of 27664 water samples were collected from 1572 administrative villages,with a median of 12.90μg/L of water iodine,including 1383 low-iodine villages,173 moderately iodine villages and 16 high-iodine villages.Conclusions Children's iodine nutrition exceeds the appropriate amount,and pregnant women's iodine nutrition is appropriate in Zhumadian City Henan Province.In combination with the results of water iodine monitoring,we will continue to carry out IDD monitoring and consolidate the results of prevention and control.
作者
魏爱平
李涛鹏
杜燕飞
田丽
Wei Aiping;Li Taopeng;Du Yanfei;Tian Li(Department of Prevention and Treatment of Endemic and Parasitic Diseases,Zhumadian Center for Disease Control and Prevention,Zhumadian 463000,China)
出处
《中华地方病学杂志》
CAS
北大核心
2022年第9期737-741,共5页
Chinese Journal of Endemiology
关键词
碘
儿童
孕妇
盐类
Iodine
Child
Pregnant women
Salts
