摘要
目的 了解新疆生产建设兵团（简称兵团）碘缺乏病流行现状及存在问题，为制定科学防治规划提供依据。方法 采用人口比例概率抽样方法（PPS），对8—10岁学龄儿童的碘营养状况（包括甲状腺肿大率、尿碘、智商水平）及居民碘盐食用情况进行调查；对五年级学生和家庭主妇进行健康教育调查。结果 居民碘盐中位数为30．9mg／kg，居民碘盐合格率为96．7％；8—10岁学生甲状腺肿大率为12．2％（触诊法）和6．1％（B超法）；学生尿碘中位数为176．1μg／L。尿碘低于20μg/L的比例占3．6％，低于100μg／L的比例占20．7％；学生智商平均值为120．2±15．2，不同年龄组、城市和乡村、不同地域的学生智商值有差别，频数分析表明高智商值的人数较多。五年级学生和家庭主妇健康教育问卷的平均分为53．2±31和90．7±7．9，及格率为37．5％和100％。结论 兵团居民碘营养状况良好，尿碘水平和盐碘含碘量达到国家碘缺乏病消除标准，学生尿碘水平下降至理想的水平，甲状腺肿大率未达到国家消除碘缺乏病的标准，五年级学生健康教育不理想，应继续抓好健康教育工作。
Objective To study the prevalence and existing problems of iodine deficiency disorders （IDD） in Xinjiang Production and Construction Corps,provide basis for making scientific program. Methods By PPS sampling,we conducted investigation on iodine nutrition status of 8 -10 years old school age children（including goiter, urinary iodine and intelligence） and taking iodized salt residents, and carried out the healthy education inquisition to the students of the grade five and housewives. Results The median of iodized salt was 30.9mg/kg, the percent of the qualified iodized salt was 96.7%. The goiter rate was 12.2% by palpation, and 6.1% by ultrasonic. The median of the urinary iodine in pupils was 176.1μg/L,and the proportions of students whose urinary iodine was lower than 20μg/L and 100μg/L were 3.6% and 20.7% respectively;The mean of IQ in 8 - 10 yeats old school children was 120.2 ± 15.2. There was difference among different age groups and different regions, analysis of frequency also showed proportion of high IQ children was large; The average scores of healthy education of the students of the grade five and housewives were 53.2 ±31 and 90.7 ± 7.9, the passing rate of IDD knowledge among the students of the grade five and housewives were 37. 5% and 100%. Conclusions In Xinjiang Production and Construction Corps,iodine nutrition of inhabitants is good, urinary iodine and iodized salt reach the national standard of eliminating IDD, the iodine level in the school children is more ideal ,however, the goiter of children dont reach the national standard of eliminating IDD, and healthy education inquisition to the students of the grade five is not ideal, it should be taken healthy education further.
出处
《地方病通报》
2006年第1期26-30,共5页
Endemic Diseases Bulletin
关键词
碘缺乏病
流行现状
新疆兵团
Iodine deficiency disorders （IDD）
Epidemic status
Xinjiang Production and Construction Corps
