摘要
目的:分析2022年云南省德宏州孕妇和儿童碘缺乏病监测结果,掌握各项指标控制情况,以便及时提出调整干预策略。方法:将德宏州5个县(市)划分成5个抽样片区,每个片区随机抽取1个乡镇,每个乡镇随机抽取1所小学,每个小学随机抽取8~10岁非寄宿学生40人;所抽取的每个乡镇里随机抽取20名孕妇。采集两类人群家中食盐及尿液,儿童还需检查甲状腺容积。结果:共收集了1609份家庭盐样,其中儿童家庭1073份,孕妇家庭536份。1609份样品的合格碘盐食用率为96.89%,碘盐合格率为97.07%,盐碘中位数为23.27 mg/kg。德宏州各县(市)居民合格碘盐食用率比较,差异有统计学意义(χ^(2)=28.491,P<0.01)。儿童尿碘中位数为257.50μg/L,各县(市)儿童尿碘中位数比较,差异有统计学意义(H=259.399,P<0.01)。孕妇尿碘中位数为203.05μg/L,各县(市)孕妇尿碘中位数比较,差异有统计学意义(H=44.743,P<0.01)。1073名儿童甲状腺肿大率为0.56%。结论:2022年德宏州各县(市)均维持了国家碘缺乏病消除标准,部分县(市)有碘营养过量的风险,需持续进行碘监测工作,找出碘过量原因,进一步加强精准化和差异化干预。
OBJECTIVE To analyze the monitoring results of iodine deficiency disorders(IDD)in pregnant women and children in Dehong prefecture of Yunnan Province in 2022,and to obtain the standard control situation,so as to timely propose and adjust the intervention strategy.METHODS Five counties(cities)in Dehong Prefecture of Yunnan Province were divided into five sampling areas,one township was randomly selected in each area,one school was randomly selected in each township,40 non-boarding students aged 8~10 were selected in each primary school,and 20 pregnant women were selected in each township.Salt and urine were collected from their homes.Thyroid volume should be measured in children.RESULTS A total of 1609 household salt and urine samples were collected,including 1073 children and 536 pregnant women.The consumption rate of qualified iodized salt was 96.89%,and there was significant difference in the consumption rate of qualified iodized salt among residents in different counties(cities)(χ^(2)=28.491,P<0.01).The median urinary iodine of children was 257.50μg/L,and there was a statistically significant difference in the median urinary iodine of children in different counties(cities)(H=259.399,P<0.01).The median urinary iodine of pregnant women was 203.05μg/L,and the difference in the median urinary iodine of pregnant women in counties and cities was statistically significant(H=44.743,P<0.01).The rate of goiter in 1073 children was 0.56%.CONCLUSION In 2022,the national standards for elimination of iodine deficiency disorders have been maintained at the county(city)level in Dehong Prefecture,Yunnan Province.Some counties(cities)have the risk of iodine excess.
作者
苟长春
袁晓娟
杨秋香
梁伟
李自伟
叶润华
姚仕堂
肖霞
Gou Changchun;Yuan Xiaojuan;Yang Qiuxiang;Liang Wei;Li Ziwei;Ye Runhua;Yao Shitang;Xiao Xia(Dehong State Center for Disease Control and Prevention,Mangshi,Yunnan,678400,China;不详)
出处
《中国初级卫生保健》
2024年第5期36-39,共4页
Chinese Primary Health Care
关键词
孕妇和儿童
碘缺乏病
监测
pregnant women and children
iodine deficiency disorders
surveillance
