摘要
目的了解江西省赣州市儿童及孕妇碘缺乏病状况,为科学补碘和调整防控策略提供依据。方法根据《全国碘缺乏病监测方案(2016版)》要求,2018-2022年在赣州市所辖18个县(市、区)开展重点人群碘缺乏病监测,采集8~10岁儿童、孕妇家中食用盐盐样和尿样,检测盐碘和尿碘含量,同时采用B超法测量儿童甲状腺容积,计算甲状腺肿大(甲肿)率。结果2018-2022年,共采集重点人群(8~10岁儿童和孕妇)家中食用盐盐样27075份,盐碘中位数为25.00 mg/kg,合格碘盐食用率为96.24%(26057/27075),不同年份重点人群合格碘盐食用率比较,差异有统计学意义(χ^(2)=29.09,P<0.001);共采集儿童尿样18061份,尿碘中位数为192.10μg/L,不同年份间儿童尿碘含量比较差异有统计学意义(H=82.59,P<0.001);共采集孕妇尿样9014份,尿碘中位数为177.20μg/L,不同年份间孕妇尿碘含量比较差异有统计学意义(H=78.78,P<0.001);共检查8621名儿童甲状腺,其中甲肿者34名,甲肿率为0.39%,且甲肿率呈逐年下降趋势(χ^(2)趋势=11.09,P<0.001)。结论2018-2022年赣州市儿童和孕妇碘营养处于适宜水平,合格碘盐食用率(>90%)、儿童甲肿率(<5%)均符合国家碘缺乏病消除标准,继续维持消除碘缺乏病状态。
Objective To investigate the status of iodine deficiency disorders in children and pregnant women in Ganzhou City,Jiangxi Province,and to provide a basis for scientific iodine supplementation and adjustment of prevention and control strategies.Methods According to the requirements of the National Iodine Deficiency Disorders Surveillance Program(2016 Edition),iodine deficiency disorders surveillance was carried out in 18 counties(cities,districts)under the jurisdiction of Ganzhou City from 2018 to 2022.Edible salt and urine samples taken from children aged 8 to 10 and pregnant women were collected to detect salt and urine iodine levels.At the same time,B-ultrasound method was adopted to measure children's thyroid volume,and the goiter rate was calculated.Results From 2018 to 2022,a total of 27075 edible salt samples were collected from key populations(children aged 8-10 and pregnant women),with a median salt iodine of 25.00 mg/kg and a qualified iodized salt consumption rate of 96.24%(26057/27075).The difference in the qualified iodized salt consumption rate among key populations in different years was statistically significant(χ^(2)=29.09,P<0.001).A total of 18061 urine samples were collected from children,with a median urine iodine of 192.10μg/L,there was a statistically significant difference in the urine iodine level of children between different years(H=82.59,P<0.001).A total of 9014 urine samples were collected from pregnant women,with a median urine iodine of 177.20μg/L,there was a statistically significant difference in urine iodine level of pregnant women between different years(H=78.78,P<0.001).A total of 8621 children's thyroid glands were examined,including 34 cases of goiter,with a goiter rate of 0.39%,and the goiter rate showed a decreasing trend year by year(χ^(2)trend=11.09,P<0.001).Conclusions From 2018 to 2022,the iodine nutrition of children and pregnant women in Ganzhou City is at an appropriate level,the consumption rate of qualified iodized salt(>90%)and the children's goiter rate(<5%)met the national iodine deficiency disorders elimination standards.Ganzhou City continues to maintain the status of eliminating iodine deficiency disorders.
作者
严月康
曹洪敏
上官俊
朱瑶琴
杨紫娟
杨荣荣
杜刚
黄棋
Yan Yuekang;Cao Hongmin;Shangguan Jun;Zhu Yaoqin;Yang Zijuan;Yang Rongrong;Du Gang;Huang Qi(Department of Endemic and Chronic Diseases,Ganzhou Center for Disease Control and Prevention,Ganzhou 341000,China;Institute for Endemic Disease Prevention and Control,Jiangxi Provincial Center for Disease Control and Prevention,Nanchang 330029,China)
出处
《中华地方病学杂志》
CAS
北大核心
2023年第11期908-912,共5页
Chinese Journal of Endemiology
基金
江西省卫健委科技计划项目(202312005)
赣州市科学技术局项目(GZ2015ZSF342)。
关键词
儿童
孕妇
碘缺乏病
盐碘
尿碘
甲状腺肿
Child
Pregnant woman
Iodine deficiency disorders
Salt iodine
Urine iodine
Goiter
