摘要
目的了解和掌握江苏省碘缺乏病现状，综合评价预防控制措施落实效果。方法采用按人口比例概率抽样方法（PPS），在江苏省抽取30个县（市、区），每个县（市、区）抽取1所小学，每所小学抽取8-10岁儿童50名（男女各半、各年龄组均匀分布），检查甲状腺肿大情况、尿碘、身高、体重，以及家中盐样含碘量。在抽中学校的五年级中．抽取1个班的30名学生，进行健康教育问卷调查。在抽中学校所在地选取5名家庭妇女进行问卷调查。在抽中学校所在村采集2-5份居民饮用水检测水碘。在抽中学校所在乡镇抽取20名孕妇和10名哺乳妇女进行尿碘和家中食盐碘含量测定。甲状腺检查采用触诊和B超法；尿碘检测采用砷铈催化分光光度法（WS／T107—2006）；盐碘检测采用直接滴定法，川盐及其他强化食用盐采用仲裁法（GB／T13025．7—1999）；水碘检测采用适合缺碘及高碘地区的水碘检测方法（国家碘缺乏病参照实验室推荐方法）。结果共检查1524名8。10岁儿童甲状腺．触诊法检出甲状腺肿大42名，肿大率为2．76％;B超法检出甲状腺肿大41人，肿大率为2．69％。检测8-10岁儿童尿样1523份，尿碘中位数为208．03μg／L。检测儿童家庭食用盐盐样l524份，碘盐覆盖率为97．44％（1485／1524），碘盐合格率为96．43％（1432／1485），合格碘盐食用率为93．96％（1432／1524），非碘盐率为2．56％（39／1524）。学生和家庭主妇碘缺乏病知识健康教育问卷知晓率分别为81．36％（2287／2811）和91．18％（424／465）。检测居民饮用水60份，水碘中位数为16．83μg／L。分别检测孕妇和哺乳妇女尿样600、304份，尿碘中位数分别为155．16、138．33μg／L。结论江苏省以省为单位达到消除碘缺乏病阶段目标后的防治成效是持续的，人群碘营养缺乏的风险大大降低。
Objective To investigate the current status of iodine deficiency disorders （IDD） in Jiangsu Province and to evaluate the effects of preventive and control measures on IDD in Jiangsu Province in 2014. Methods With the use of probability proportional to size sampling method （PPS）, 30 counties （cities, districts） in Jiangsu Province were selected. Only 1 primary school was selected in each county （city, district） and 50 students of 8 - 10 years old （halt＇ male and half female, uniformly distributed in age groups） were selected in each school. Goiter, salt iodine, urinary iodine, height and weight were examined. Thirty students from Grade 5 in each school were selected at random, and health education questionnaire survey was conducted. In the area where the primary school located, 5 housewives were selected and a questionnaire survey was conducted. Two - 5 drinking water samples from the village where the primary school located were collected and the water iodine concentration was tested. Urine samples and salt samples from 20 pregnant women and 10 lactating women in the village where the primary school located were collected, and urinary iodine and salt iodine were detected. Thyroid volume was measured by palpation method and ultrasound. Urinary iodine was detected by arsenic cerium catalytic spectrophotometry （WS/T 107-2006）. The iodine level in salt was determined by direct titration; the salt samples from Sichuan and other enhanced salt were detected by arbitration （GB/T 13025.7-1999）. Water iodine was tested using the method suitable for iodine deficiency and high iodine areas （recommended method of reference laboratory of national iodine deficiency disorders）. Results A total of 1 524 children aged 8 - 10 years old were examined. Forty-two children had goiter by palpation method and the goiter rate was 2.76% （42/1 524）. Forty-one children had goiter by ultrasound and the goiter rate was 2.69% （41/1 524）. Totally 1 523 urine samples of children aged 8 - 10 years old were
出处
《中华地方病学杂志》
CSCD
北大核心
2017年第12期878-882,共5页
Chinese Journal of Endemiology
基金
中央补助地方公共卫生专项资金地方病防治项目（2014）
江苏省血地寄防应用性科研课题（X201420）
关键词
碘
缺乏症
甲状腺肿
尿
盐类
Iodine
Deficiency disease
Goiter
Urine
Salts
