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Control of Iodine Deficiency Disorders Following 10-Year Universal Salt Iodization in Hebei Province of China 被引量:6
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作者 SHENG-MIN LV LI-JUN XIE +5 位作者 RONG-HUA ZHOU ZHEN-SHUI CHONG LI-HUI JIA JING MA JUN ZHAO DONG XU 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2009年第6期472-479,共8页
Objective To evaluate the effectiveness of universal salt iodization(USI) for the control of IDD in Hebei province since it was implemented in 1995,identify the problems currently encountered in the implementation of ... Objective To evaluate the effectiveness of universal salt iodization(USI) for the control of IDD in Hebei province since it was implemented in 1995,identify the problems currently encountered in the implementation of USI and provide practical proposals for addressing these problems.Methods Probability proportionate to size sampling(PPS) was employed in the surveillance of IDD,for which a total of 1200 school children aged 8-10 years were randomly selected from 30 counties around the whole province during each IDD survey.The iodine content of salt was determined quantitatively with the titration method.The iodine content of urinary samples was measured by the method of ammonium persulfate oxidation.Results The coverage of iodized salt increased from 65.0% in 1995 to 98.0% in 1999,then decreased to 88.1% in 2005 which was below the national standard of 90%.The median urinary iodine of children aged 8-10 years varied between 160.1 μg/L and 307.4 μg/L,which was above the national standard.The proportion of urinary samples with iodine content above 300 μg/L was over 30% in 2005,implying exorbitant iodine nutrition among the children.The goiter rate(TGR) among children aged 8-10 years dropped from 11.8% in 1995 to 2.7% in 2005,indicating that the spread of endemic goiter was under control.Conclusion Preliminary elimination of IDD was achieved by USI in Hebei province.Nevertheless,some problems still existed in USI such as non-iodized salt competition,over iodization and un-standardized iodization.In order to address these problems,the management and supervision of salt market needs to be strengthened to prevent non-iodized salt from reaching households updating equipment and modifying techniques are also necessary to ensure the quality of iodized salt to clarify the causes of excessive urinary iodine content,the various sources of iodine from the diet need to be investigated in the future. 展开更多
关键词 食盐加碘 碘缺乏病 河北省 中国 防治
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Time Series and Spatial Epidemiological Analysis of the Prevalence of Iodine Deficiency Disorders in China 被引量:1
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作者 FAN Li Jun GAO Yun Yan +8 位作者 MENG Fan Gang LIU Chang LIU Lan Chun DU Yang LIU Li Xiang LI Ming SU Xiao Hui LIU Shou Jun LIU Peng 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2022年第8期735-745,共11页
Objective To recognize the spatial and temporal characteristics of iodine deficiency disorders(IDD),China national IDD surveillance data for the years of 1995–2018 were analyzed.Methods Time series analysis was used ... Objective To recognize the spatial and temporal characteristics of iodine deficiency disorders(IDD),China national IDD surveillance data for the years of 1995–2018 were analyzed.Methods Time series analysis was used to describe and predict the IDD related indicators,and spatial analysis was used to analyze the spatial distribution of salt iodine levels.Results In China,the median urinary iodine concentration increased in 1995–1997,then decreased to adequate levels,and are expected to remain appropriate in 2019–2022.The goiter rate continually decreased and is expected to be maintained at a low level.Since 2002,the coverage rates of iodized salt and the consumption rates of qualified iodized salt(the percentage of qualified iodized salt in all tested salt) increased and began to decline in 2012;they are expected to continue to decrease.Spatial epidemiological analysis indicated a positive spatial correlation in 2016–2018 and revealed feature regarding the spatial distribution of salt related indicators in coastal areas and areas near iodine-excess areas.Conclusions Iodine nutrition in China showed gradual improvements.However,a recent decline has been observed in some areas following changes in the iodized salt supply in China.In the future,more regulations regarding salt management should be issued to strengthen IDD control and prevention measures,and avoid the recurrence of IDD. 展开更多
关键词 Salt iodine lodine deficiency disorders Time series analysis Space epidemiology Reform for the salt industry system
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Iodine deficiency disorders in Gansu Province in 2014
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作者 王燕玲 《China Medical Abstracts(Internal Medicine)》 2017年第4期201-205,共5页
Objective To master the situation of iodine deficiency disorders(IDD)and the people’s iodine nutritional status after implementation of the new salt iodine standard in Gansu Province in 2012.Methods Totally 30 counti... Objective To master the situation of iodine deficiency disorders(IDD)and the people’s iodine nutritional status after implementation of the new salt iodine standard in Gansu Province in 2012.Methods Totally 30 counties(cities)were selected in Gansu Province by population proportionate to size sampling(PPS)method in 2014,and one primary school was selected in 展开更多
关键词 iodine deficiency disorders in Gansu Province in 2014
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Clinical Observation on Modified Huan'gan Lipi Decoction Combined with Acupuncture in Treating Spleen Deficiency and Liver Hyperactivity Type Tic Disorders
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作者 Xiuping SUN Huiming JING 《Medicinal Plant》 CAS 2023年第3期82-84,共3页
[Objectives]To observe the clinical efficacy of Modified Huan'gan Lipi Decoction combined with acupuncture in the treatment of spleen deficiency and liver hyperactivity type tic disorders(TD).[Methods]Sixty patien... [Objectives]To observe the clinical efficacy of Modified Huan'gan Lipi Decoction combined with acupuncture in the treatment of spleen deficiency and liver hyperactivity type tic disorders(TD).[Methods]Sixty patients with spleen deficiency and liver hyperactivity type TD were randomly divided into a treatment group of 40 cases and a control group of 20 cases.The treatment group received Modified Huan'gan Lipi Decoction combined with acupuncture,and the control group received Haloperidol Tablets.After 4 weeks of treatment,the Yale Global Tic Severity Scale(YGTSS)score,the total score of TCM syndrome and the clinical efficacy were compared between the two groups before and after treatment.[Results]After treatment,the total effective rate of 87.5%in the treatment group was higher than 80.0%in the control group(P>0.05);the total score of YGTSS and the total score of TCM syndromes in the two groups were compared within groups,P﹤0.01;between groups,P﹤0.01.The recurrence rates of the treatment group and the control group were 11.1%and 71.4%,respectively.The difference between the two groups was statistically significant(P﹤0.01).[Conclusions]Modified Huan'gan Lipi Decoction combined with acupuncture in the treatment of spleen deficiency and liver hyperactivity type TD can significantly improve the patient's tic symptoms,and its long-term efficacy is stable. 展开更多
关键词 Tic disorders(TD) Spleen deficiency and liver hyperactivity Modified Huan'gan Lipi Decoction ACUPUNCTURE
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THE MEASUREMENT AND APPLICATION OF TSH-IRMA LEVELS AMONG DIFFERENT AGE GROUPS IN AREAS WITH IODINE DEFICIENCY DISORDERS
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作者 时立新 时钟孚 +4 位作者 张家秀 马启铃 孔德明 杨礼福 谭英 《Chinese Medical Sciences Journal》 CAS CSCD 1995年第1期30-33,共4页
THEMEASUREMENTANDAPPLICATIONOFTSH-IRMALEVELSAMONGDIFFERENTAGEGROUPSINAREASWITHIODINE DEFICIENCY DISORDERSShi... THEMEASUREMENTANDAPPLICATIONOFTSH-IRMALEVELSAMONGDIFFERENTAGEGROUPSINAREASWITHIODINE DEFICIENCY DISORDERSShiLixin(时立新);ShiZho... 展开更多
关键词 碘缺乏病 放射免疫法 TSH 血清学检查 碘盐 疾病监测
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A survey of the effectiveness of preventive and control measures on iodine deficiency disorders in Hotan and Kezhou Prefecture of Xinjiang
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作者 苏晓辉 《China Medical Abstracts(Internal Medicine)》 2014年第3期136-137,共2页
Objective To understand the current preventive and control situation of iodine deficiency disorders(IDD),master the prevalence trend and assess the preventive and control effect.Methods In South Xinjiang,the investiga... Objective To understand the current preventive and control situation of iodine deficiency disorders(IDD),master the prevalence trend and assess the preventive and control effect.Methods In South Xinjiang,the investigation sites were selected in rural areas of Luopu and Aketao counties which located in Hotan and Kezhou Prefecture,respectively,and these places were severe iodine deficient areas.The investigation subjects were 展开更多
关键词 iodine PREVENTIVE DEFICIENT counties prevalence children rural THYROID QUALIFIED women
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Role of medical resource level in iodine deficiency disorder 被引量:1
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作者 Chen Xu Zhen Liang Yong-Jun Luo 《Military Medical Research》 SCIE CAS 2018年第1期53-61,共9页
Background:Iodine deficiency disorders(IDDs)refer to a series of diseases caused by the human body's insufficient iodine intake.Edible salt became iodized in China in 1996,which yielded remarkable results.We have ... Background:Iodine deficiency disorders(IDDs)refer to a series of diseases caused by the human body's insufficient iodine intake.Edible salt became iodized in China in 1996,which yielded remarkable results.We have known that IDDs is associated with iodine in the human body,but it is not clear whether IDDs is related to medical resource level.Methods:We collected the number of IDDs cases and an index for the level of medical resource from 31 provinces,autonomous regions and municipalities directly under the central government in China.All data came from the China Statistical Yearbook of Health and Family Planning issued in 2013 by the Peking Union Medical College Publishing House.Data standardization and linear regression analysis were used.Results:The results showed that IDDs correlated with the number of beds in medical and health institutions,number of medical health personnel,number of medical and health institutions,total health expenditure,average health expenditure per capita,medical insurance for urban resident and new rural cooperative medical rural residents(P<0.01).In a multiple linear regression,IDDs was most significantly associated with the number of beds in hospitals,the number of rural health personnel,the number of basic medical and health institutions and government health expenditure for these institutions. Conclusion:Based on the experimental data,we concluded that IDDs had a positive connection with the medical resource level,and basic and rural areas had a more significant association with IDDs.This analysis provides new and explicit ideas for iodine prevention and control work in China. 展开更多
关键词 iodine deficiency disorders(IDDs) Health level Medical security China
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Surveys in Areas of High Risk of Iodine Deficiency and Iodine Excess in China, 2012-2014: Current Status and Examination of the Relationship between Urinary Iodine Concentration and Goiter Prevalence in Children Aged 8-10 Years 被引量:6
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作者 CUI Si Lu LIU Peng +1 位作者 SU Xiao Hui LIU Shou Jun 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2017年第2期88-96,共9页
Objective We aimed to evaluate goiter prevalence and iodine nutritional status in areas with high levels of water iodine;to monitor the prevalence of iodine deficiency disorders(IDD)in areas at high risk of IDD;and to... Objective We aimed to evaluate goiter prevalence and iodine nutritional status in areas with high levels of water iodine;to monitor the prevalence of iodine deficiency disorders(IDD)in areas at high risk of IDD;and to compare the prevalence of goiter and urine iodine(UI)concentrations between children living in the two areas.Methods Based on surveillance from 2012-2014,we analyzed the concentration of UI and prevalence of goiter in 8-10-year-old children from 12 high-risk IDD provinces,and from 8 provinces and municipalities with excessive water iodine.We calculated goiter prevalence for each UI level according to World Health Organization(WHO)standards and constructed predictive prevalence curves.Results The goiter prevalence and median UI of children from areas with high water iodine were not optimal,being above the WHO standards(5%and 100-199μg/L,respectively),whereas those in high-risk areas fell within the standard.UI and goiter prevalence exhibited a U-shaped relationship in high-risk endemic areas and a parabolic relationship in areas of iodine excess.Conclusion Iodine surplus in high-iodine areas leads to high goiter prevalence and UI.However,in high-risk areas,UI was optimal and goiter prevalence met the national criteria for IDD elimination. 展开更多
关键词 碘缺乏 高碘 地方性的甲状腺肿
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Iodine deficiency and women’s health: Colonialism’s malign effect on health in Oromia region, in Ethiopia
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作者 Begna Dugassa 《Health》 2013年第5期958-972,共15页
Objectives: Iodine is an essential nutrient needed for the synthesis of hormone thyroxin. Hormone thyroxin is involved in the metabolism of several nutrients, the regulation of enzymes and differentiation of cells, ti... Objectives: Iodine is an essential nutrient needed for the synthesis of hormone thyroxin. Hormone thyroxin is involved in the metabolism of several nutrients, the regulation of enzymes and differentiation of cells, tissues and organs. Iodine deficiency (ID) impairs the development of the brain and nervous system. It affects cognitive capacity, educability, productivity and child mortality. ID hinders physical strength and causes reproductive failure. The objective of this paper is to explore if the health impacts of ID are more common and severe among women. Design: Using primary data (notes from a visit) and secondary data, this paper examines if the effects of ID are more common and severe among Oromo women inEthiopia. Findings: The health impacts of ID are more common and severe among women. Conclusions: ID is an easily preventable nutritional problem. In Oromia, the persistence of ID is explained by the Ethiopian government’s colonial social policies. Preventing ID should be seen as part of the efforts we make to enhance capacity building, promote health, gender equity and social justice. Implications: Iodine deficiency has a wide range of biological, social, economic and cultural impacts. Preventing ID can be instrumental in bringing about gender equity and building the capacity of people. 展开更多
关键词 iodine deficiency disorders Women’s REPRODUCTIVE HEALTH Capacity Building Gender EQUITY HEALTH in Oromia Ethiopia COLONIALISM and Public HEALTH
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Effects of Maternal Marginal Iodine Deficiency on Interactions between Cerebellar Bergmann Glia Cells and Purkinje Cells in Rat Offspring
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作者 YU Ye DONG Jing +5 位作者 WANG Yuan WANG Yi MIN Hui SHAN Zhong Yan TENG Wei Ping CHEN Jie 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2017年第12期932-937,共6页
Iodine deficiency(ID)during early pregnancy has an adverse effect on children’s psychomotor and motor function but the mechanism has not been clarified.Therefore,our aim was to study the effect of maternal marginal I... Iodine deficiency(ID)during early pregnancy has an adverse effect on children’s psychomotor and motor function but the mechanism has not been clarified.Therefore,our aim was to study the effect of maternal marginal ID on cerebellar neurodevelopment and the underlying mechanism.After obtaining marginal ID rats,we examined interactions between Bergmann glia cells(BGs)and Purkinje cells(PCs)using immunofluorescence 展开更多
关键词 PC Effects of Maternal Marginal iodine deficiency on Interactions between Cerebellar Bergmann Glia Cells and Purkinje Cells in Rat Offspring ID PN
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Crosslink between mutations in mitochondrial genes and brain disorders:implications for mitochondrial-targeted therapeutic interventions 被引量:1
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作者 Jaspreet Kalra 《Neural Regeneration Research》 SCIE CAS CSCD 2023年第1期94-101,共8页
At the present,association of mitochondrial dysfunction and progression of neurological disorders has gained significant attention.Defects in mitochondrial network dynamics,point mutations,deletions,and interaction of... At the present,association of mitochondrial dysfunction and progression of neurological disorders has gained significant attention.Defects in mitochondrial network dynamics,point mutations,deletions,and interaction of pathogenomic proteins with mitochondria are some of the possible underlying mechanisms involved in these neurological disorders.Mitochondrial genetics,defects in mitochondrial oxidative phosphorylation machinery,and reactive oxygen species production might share common crosstalk in the progression of these neurological disorders.It is of significant interests to explore and develop therapeutic strategies aimed at correcting mitochondrial abnormalities.This review provided insights on mitochondrial dysfunction/mutations involved in the progression of Alzheimer’s disease,Huntington’s disease,and epilepsy with a special focus on Parkinson’s disease pathology.Along with the deleterious effects of mitochondrial mutations in aforesaid neurological disorders,this paper unraveled the available therapeutic strategy,specifically aiming to improve mitochondrial dysfunction,drugs targeting mitochondrial proteins,gene therapies aimed at correcting mutant mtDNA,peptide-based approaches,and lipophilic cations. 展开更多
关键词 adenosine-triphosphate deficiency mitochondrial fission/fusion mitochondrial mutations neurodegenerative disorders oxidative phosphorylation therapeutic interventions
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Brain Findings Associated with Iodine Deficiency Identified by Magnetic Resonance Methods: A Systematic Review
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作者 Maria del C. Valdés Hernández Kirsty L. Wilson +1 位作者 Emilie Combet Joanna M. Wardlaw 《Open Journal of Radiology》 2013年第4期180-195,共16页
Objectives: Iodine deficiency (ID) is a common cause of preventable brain damage and mental retardation worldwide, according to the World Health Organisation. It may adversely affect brain maturation processes that po... Objectives: Iodine deficiency (ID) is a common cause of preventable brain damage and mental retardation worldwide, according to the World Health Organisation. It may adversely affect brain maturation processes that potentially result in structural and metabolic brain abnormalities, visible on Magnetic Resonance (MR) techniques. Currently, however, there has been no review of the appearance of these brain changes on MR methods. Methods: A systematic review was conducted using 3 online search databases (Medline, Embase and Web of Knowledge) using multiple combinations of the following search terms: iodine, iodine deficiency, magnetic resonance, MRI, MRS, brain, imaging and iodine deficiency disorders (i.e. hypothyroxinaemia, congenital hypothyroidism, hypothyroidism and cretinism). Results: Up to May 2013, 1673 related papers were found. Of these, 29 studies confirmed their findings directly using MR Imaging and/or MR Spectroscopy. Of them, 28 were in humans and involved 157 subjects, 46 of whom had primary hypothyroidism, 97 had congenital hypothyroidism, 3 had endemic cretinism and 11 had subclinical hypothyroidism. The studies were small, with a mean relevant sample size of 6, median 2, range 1 - 35, while 14 studies were individual case reports. T1-weighted was the most commonly used MRI sequence (20/29 studies) and 1.5 Tesla was the most commonly used magnet strength (6/10 studies that provided this information). Pituitary abnormalities (18/29 studies) and cerebellar atrophy (3/29 studies) were the most prevalent brain abnormalities found. Only fMRI studies (3/29) reported cognition-related abnormalities but the brain changes found were limited to a visual description in all studies. Conclusions: More studies that use MR methods to identify changes on brain volume or other global structural abnormalities and explain the mechanism of ID causing thyroid dysfunction and hence cognitive damage are required. Given the role of MR techniques in cognitive studies, this review provides a starting point for researching the macroscopic structural brain changes caused by ID. 展开更多
关键词 iodine deficiency MRI BRAIN HYPOTHYROIDISM
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Peculiarities of Morphodensitometric Indices of Epitheliocytes of the Oral Cavity Mucous Membrane in Children with Latent Iron Deficiency and Mild Iodine Deficiency
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作者 Uliana Shalamay Nataliya Voronych-Semchenko +1 位作者 Larysa Kovalchuk Mykola Bagriy 《Journal of Pharmacy and Pharmacology》 2020年第1期18-23,共6页
The article represents the results of the study of the micronutrient deficiency effect(iron and iodine)on the morphometric and optical indices of the oral cavity mucous membrane(OCMM)in school children.In order to ach... The article represents the results of the study of the micronutrient deficiency effect(iron and iodine)on the morphometric and optical indices of the oral cavity mucous membrane(OCMM)in school children.In order to achieve this goal,99 school children aged 6-18 years with adequate iodine and iron supply(control group),latent iron deficiency,and mild iodine deficiency were examined.The morphodensitometric study included the determination of the perimeter and area of cells and nuclei,the nuclear-cytoplasmic ratio,the state of chromatin condensation of the epitheliocyte OCMM.The study material was:epitheliocytes of the buccal scraping.It was determined that the area of epitheliocytes in girls aged 6-11 has significantly increased in mild iodine deficiency and in latent iron deficiency.Instead,the decrease of nuclei area was more noticeable in boys of this age in mild iodine deficiency.During the analysis of the general level of chromatin condensation of epitheliocyte nuclei in children,a gender peculiarity has been proved,which was manifested by a greater sensitivity of girls to microelementosis(increase of the integrative optical density of nuclei in the latent iron deficiency at 97.9%,p1-3<0.05,and cell area at 45.8%,p1-4<0.01 relative to control).Among children aged 12-18 years,young men were more sensitive to the deficiency of the studied trace elements.Significant growth of the cell area at 38.7%(p1-2<0.05)in adolescents with mild iodine deficiency and total optical density of nuclei at 63.6%(p1-2<0.05)was substantiated with respect to control in the decrease of karyoplasmic area. 展开更多
关键词 MILD iodine deficiency LATENT iron deficiency morphodensitometry of epitheliocytes school-aged CHILDREN
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Iodized salt consumption and iodine deficiency status in China: a cross-sectional study
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作者 Lijun Fan Xiaohui Su +8 位作者 Hongmei Shen Peng Liu Fangang Meng Jun Yan Zhenglong Lei Shubin Zhang Yunyou Gu Shoujun Liu Dianjun Sun 《Global Health Journal》 2017年第2期23-37,共15页
Objective:To monitor iodized salt consumption and evaluate iodine deficiency status in 2014 in China.Materials and Methods:In 2014,a nationwide cross-sectional survey was conducted in 31 provinces (in this study,provi... Objective:To monitor iodized salt consumption and evaluate iodine deficiency status in 2014 in China.Materials and Methods:In 2014,a nationwide cross-sectional survey was conducted in 31 provinces (in this study,provinces,autonomous regions and municipalities in China's Mainland were named as provinces).Probability proportional to size sampling method was adopted to recruit children ages 8-10 and pregnant women.47,467 children's and 18,994 pregnant women's urine samples were collected and 47,706 children's thyroid volumes were examined.Iodine content in salt was determined with 46,900 edible salt samples from children's households;urinary iodine concentration (UIC) was tested from children and pregnant women's urine samples;thyroid volume of children was assessed by ultrasound.Results:The national coverage rate of iodized salt and consumption rate of qualified iodized salt were 96.3% and 91.5%,respectively.Median iodine content in iodized salt was 25.2 mg/kg.In 22 of 31 provinces,the provincial coverage rates of iodized salt were over 95%.And consumption rates of qualified iodized salt were more than 90% in 21 provinces.In this study,the national median urinary iodine concentration (MUIC) of children in China was 197.9 μg/L.At the provincial level,MUIC of children in 19 provinces was 100-199 μg/L,which in 12 provinces was 200-299 μg/L.The national MUIC of pregnant women in 2014 was 154.6 μg/L,slightly higher than the lower limit of the WHO criteria for adequate (150-249 μg/L).At the provincial level,MUIC of pregnant women in 18 provinces was 100-149 μg/L,which in 13 provinces was 150-249 μg/L.The national prevalence of goiter among children in 2014 was 2.6%,of which only Shandong province (5.6%) exceeded the national standard (5%).Conclusions:In China,iodine deficiency disorders (IDD) has been eliminated since 2005.And in 2014,the IDD-free status still remained. 展开更多
关键词 iodized SALT median urinary iodine concentration prevalence of GOITER iodine deficiency disorders the seventh national survey the coverage RATE of iodized SALT CONSUMPTION RATE of QUALIFIED iodized SALT
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铁缺乏与抽动障碍关系研究进展
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作者 王云 向晶晶 +1 位作者 郑倩 柏金秀 《新医学》 CAS 2024年第4期275-279,共5页
抽动障碍是一种常见于儿童的神经发育障碍性疾病,患病率高,患者个体间临床表现差异大,常常合并其他神经精神疾病,给患者心理和生理健康带来极大的负担。抽动障碍的病因尚未明确,可能与遗传、免疫、环境及心理等多种因素有关,病理机制涉... 抽动障碍是一种常见于儿童的神经发育障碍性疾病,患病率高,患者个体间临床表现差异大,常常合并其他神经精神疾病,给患者心理和生理健康带来极大的负担。抽动障碍的病因尚未明确,可能与遗传、免疫、环境及心理等多种因素有关,病理机制涉及皮质-纹状体-丘脑-皮质通路障碍及多巴胺的异常。铁在神经系统发育过程中具有重要的生物学功能。研究显示,铁缺乏可能引起大脑发育障碍、多巴胺功能受损进而导致抽动障碍的发生发展。改善机体铁营养状况、对抽动障碍患儿适当补充铁剂可能是防治抽动障碍的新思路。 展开更多
关键词 铁缺乏 抽动障碍 图雷特综合征 发病机制 铁剂补充
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针刺联合中西药治疗肝郁肾虚型月经后期的疗效观察
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作者 何丹 李媛媛 刘咏梅 《上海针灸杂志》 CSCD 2024年第3期246-253,共8页
目的 观察针刺联合中西药治疗肝郁肾虚型月经后期的临床疗效。方法 将88例肝郁肾虚型月经后期患者随机分为对照组(29例)、针刺组(29例)和联合组(30例)。对照组给予雌孕激素序贯疗法,针刺组在对照组基础上给予疏肝补肾针刺法,联合组在针... 目的 观察针刺联合中西药治疗肝郁肾虚型月经后期的临床疗效。方法 将88例肝郁肾虚型月经后期患者随机分为对照组(29例)、针刺组(29例)和联合组(30例)。对照组给予雌孕激素序贯疗法,针刺组在对照组基础上给予疏肝补肾针刺法,联合组在针刺组基础上给予疏肝益肾通瘀方治疗。观察3组治疗前后中医证候积分、性激素水平[雌二醇(estradial, E2)、促卵泡生成素(follicle-stimulating hormone, FSH)、促黄体生成素(luteinizing hormone, LH)水平、睾酮(testosterone, T)和催乳素(prolactin, PRL)]、卵巢功能(卵巢体积、卵泡最大直径、卵泡数量)和磷脂酰肌醇3-激酶(phosphoinositide 3-kinase, PI3K)/蛋白激酶B(protein kinase B, AKT)/哺乳动物雷帕霉素靶蛋白(mammalian target of rapamycin, mTOR)信号通路相关蛋白的变化,并比较3组临床疗效及安全性。结果 联合组总有效率为96.7%,高于对照组的72.4%(P<0.05);联合组与针刺组、针刺组与对照组比较,差异无统计学意义(P>0.05)。3组治疗后经色暗淡、腰骶酸痛、头晕耳鸣、性欲淡漠及烦躁易怒积分均低于治疗前(P<0.05);且联合组治疗后经色暗淡、腰骶酸痛、头晕耳鸣、性欲淡漠及烦躁易怒积分低于针刺组和对照组(P<0.05),针刺组低于对照组(P<0.05)。3组治疗后E2水平均高于治疗前(P<0.05),FSH、T、LH、PRL水平均低于治疗前(P<0.05);且联合组治疗后E2水平高于针刺组和对照组(P<0.05),针刺组高于对照组(P<0.05);联合组治疗后FSH、T、LH、PRL水平低于针刺组和对照组(P<0.05),针刺组低于对照组(P<0.05)。3组治疗后卵泡最大直径和卵泡数量均大于治疗前(P<0.05);且联合组治疗后卵泡最大直径和卵泡数量大于针刺组和对照组(P<0.05),针刺组大于对照组(P<0.05)。3组治疗前后卵巢体积比较,差异无统计学意义(P>0.05)。3组治疗后PI3K、Akt和m TOR蛋白表达浓度均高于治疗前(P<0.05);且联合组治疗后PI3K、Akt和mTOR蛋白表达浓度高于针刺组和对照组(P<0.05),针刺组高于对照组(P<0.05)。3组不良反应发生率比较,差异无统计学意义(P>0.05)。结论 针刺联合中西药可有效改善月经后期患者临床症状,调节性激素水平与卵巢功能,疗效显著,且安全性高,这可能与调控PI3K/Akt/m TOR信号通路有关。 展开更多
关键词 针刺疗法 针药并用 月经失调 肝郁肾虚 性激素 卵巢功能 PI3K/Akt/mTOR信号通路
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基于肠-脑轴理论以腹部推拿为主治疗心脾两虚型广泛性焦虑症临床观察 被引量:1
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作者 刘刚 季远 《中国中医药现代远程教育》 2024年第1期105-107,共3页
目的观察基于肠-脑轴理论,以腹部推拿为主治疗心脾两虚型广泛性焦虑症(GAD)的临床效果。方法选取山东中医药大学附属医院推拿科门诊及病房的60例心脾两虚型GAD患者为研究对象,随机分成2组,每组30例,治疗组采用腹部推拿作为主治疗,对照... 目的观察基于肠-脑轴理论,以腹部推拿为主治疗心脾两虚型广泛性焦虑症(GAD)的临床效果。方法选取山东中医药大学附属医院推拿科门诊及病房的60例心脾两虚型GAD患者为研究对象,随机分成2组,每组30例,治疗组采用腹部推拿作为主治疗,对照组采用常规针刺治疗,治疗4周后采用中医证候积分量表和汉密尔顿焦虑量表(HAMA)评定疗效。结果治疗前,2组中医证候积分与HAMA积分差异无统计学意义(P>0.05)。治疗后,2组症状和HAMA积分均有所改善(P<0.05),且治疗组情绪不宁、心悸胆怯、失眠健忘与多思善疑的改善情况明显优于对照组,HAMA量表积分改善亦优于对照组,差异均有统计学意义(P<0.01)。治疗组的总有效率为96.67%(29/30),高于对照组的86.67%(26/30),差异有统计学意义(P<0.05)。结论以腹部推拿为主治疗心脾两虚型GAD效果更好,值得临床推广。 展开更多
关键词 郁证 心脾两虚证 广泛性焦虑症 腹部推拿 肠-脑轴
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多系统萎缩中医认识及中医药治疗现状
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作者 刘云龙 王婧 +5 位作者 杨永瑞 赵英慧 李玟茜 郝嘉欣 许蓬娟 樊晓靖 《陕西中医》 CAS 2024年第2期274-277,共4页
多系统萎缩(MSA)是一种中枢神经退行性疾病,起病具有隐匿性、散发性、进行性加重的特点。现代医学对其病因及发病机制认识尚不清晰,且治疗方法较为匮乏,中医学对MSA治疗却具有显著优势。现梳理近五年中医药治疗MSA相关文献,从病因病机... 多系统萎缩(MSA)是一种中枢神经退行性疾病,起病具有隐匿性、散发性、进行性加重的特点。现代医学对其病因及发病机制认识尚不清晰,且治疗方法较为匮乏,中医学对MSA治疗却具有显著优势。现梳理近五年中医药治疗MSA相关文献,从病因病机和辨证论治方面总结其中医药治疗现状,认为MSA多由情志内伤和正虚体弱所致,病机总属肝肾脾亏虚,气、血、水湿运化功能失调。中医药临床多从肝肾亏虚证、脾肾亏虚证和痰瘀互阻证论治,可有效改善自主神经功能障碍、认知功能障碍和躯体运动障碍,并能够延缓MSA中枢神经老化和调节脑内微环境异常,以期为今后中医药治疗MSA提供临床依据和参考。 展开更多
关键词 多系统萎缩 神经退行性疾病 病因病机 肝肾亏虚 辨证论治
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视神经脊髓炎样表现的生物素酶缺乏症1例
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作者 刘玲文 魏红芳 +4 位作者 吕海燕 张永琴 代彩娟 张亚琼 陈永前 《中国当代医药》 2024年第1期146-149,154,共5页
生物素酶缺乏症(BTD)是一种常染色体隐性遗传病,是由于编码生物素酶的生物素酶基因突变,引起生物素酶活性完全或部分缺乏,导致生物素减少,使依赖生物素的多种羧化酶的活性下降,致线粒体能量合成障碍,出现代谢性酸中毒、有机酸尿症及一... 生物素酶缺乏症(BTD)是一种常染色体隐性遗传病,是由于编码生物素酶的生物素酶基因突变,引起生物素酶活性完全或部分缺乏,导致生物素减少,使依赖生物素的多种羧化酶的活性下降,致线粒体能量合成障碍,出现代谢性酸中毒、有机酸尿症及一系列神经与皮肤系统损害等表现,该病临床表现复杂,个体差异很大,易造成漏诊治、误诊。兰州大学第二医院小儿神经科收治1例11岁男性患儿,主要表现为双上肢无力及双下肢痉挛性瘫痪、视力下降,初步诊断为视神经脊髓炎谱系疾病,予以免疫治疗,疗效欠佳,经血、尿遗传代谢病筛查和基因检测,最终确诊为生物素酶缺乏症,补充生物素酶后患儿症状缓解。生物素酶缺乏症常导致严重神经系统损害,补充生物素治疗能起到良好疗效,因此进行该病早期筛查及早期诊断治疗是改善预后的关键。 展开更多
关键词 生物素酶缺乏 视神经脊髓炎谱系疾病 遗传代谢病筛查 基因检测
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ADHD患儿补铁疗法的有效性研究
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作者 陈晓利 方拴锋 李会祎 《脑与神经疾病杂志》 CAS 2024年第3期172-176,共5页
目的 探究补充铁剂对儿童注意缺陷多动障碍(ADHD)的疗效,为临床和家庭干预提供参考依据。方法 本研究初步纳入郑州大学附属儿童医院儿童保健科150例ADHD患儿,其中有72.4%的患儿血清铁蛋白水平低于30 ng·mL^(-1)。最终,纳入铁缺乏... 目的 探究补充铁剂对儿童注意缺陷多动障碍(ADHD)的疗效,为临床和家庭干预提供参考依据。方法 本研究初步纳入郑州大学附属儿童医院儿童保健科150例ADHD患儿,其中有72.4%的患儿血清铁蛋白水平低于30 ng·mL^(-1)。最终,纳入铁缺乏的患儿109例,其中男性比例为78.9%。研究采用间歇补铁法,口服蛋白琥珀酸铁,剂量为4 mg·kg^(-1)·w^(-2),疗程为12 w。期间对患儿的症状进行评估,采用Conners家长评分量表(CPRS)、ADHD评定量表(ADHD RS)评估患儿在注意力、行为和学业等方面的表现。结果 铁剂补充后,患儿的血清铁蛋白水平明显提高,注意力和行为等方面也有了改善。具体来说,铁剂补充组的患儿注意力缺陷、多动冲动症状明显减轻,但学业问题改善不显著。结论 铁缺乏症被认为是ADHD的潜在危险因素,本研究的结果则证实了铁剂补充在改善ADHD症状的治疗上具有可行性。 展开更多
关键词 注意缺陷多动障碍 铁缺乏症 蛋白琥珀酸铁 营养补充
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