三门峡市1999—2007年碘缺乏病监测结果分析.pdfVIP

722 实用预防医学 2008年6月 第 15卷 第3期 Practical Preventive Medicine，Jun．2008，Vol 15，No．3 文章编号：1006—3110(2008)03—0722—03 三门峡市1999—2007年碘缺乏病监测结果分析 陈 震 摘要： 目的 了解三门峡市碘缺乏病(IDD)防治进展和现状，评价防治成果，为防治决策提供依据。 方法 监 测居民食用碘盐覆盖率和合格碘盐食用率；采用人口比例概率抽样法(PPS)进行抽样，用触诊法和B超法同时检查8～10 岁儿童甲状腺肿大情况，儿童尿碘测定采用砷铈催化分光光度法。 结果 1999—2007年，碘盐覆盖率为98．99％，合格 碘盐食用率为93．56％；儿童甲状腺肿大率触诊法由8．92％下降到6．82％，B超法由8．13％下降至6．71％；尿碘中位数稳 定在241．48～320．59 g／L。 结论 三门峡市8～10岁儿童甲状腺肿大率继续保持在消除 IDD阶段目标，儿童尿碘水 平和居民用户合格碘盐食用率指标达到了消除标准0 关键词： 碘；缺乏病；监测；结果评价 中图分类号：R581 文献标识码：A Surveillance Analysis on Iodine Deficiency Disorders in Sanmenxia City During the Period of 1999～2007 CHEN Zhen (Sanmen Municipal Center for Disease Control and Prevention，Sanmenxia．5 18040，Henan) Abstract： 0bjective To evaluate the preventive effect and influencing factors of iodine deficiency disorders(I1DD)in Sanmenxia． Methods The coverage rate of iodized salt and rate of consuming qualifiedl iodine sal t were monitored．Ohil— dren aged 8～10 years were selectedl by population proportion probability sampling(PPS)method to measure iodized salt， urine iodine and total goiter rate through arsen‘ic—cerium catalytic spectrophotoiTletry method，B ultrasound，and palpation． Results The coverage rate of iodine salt was 98．99％ ，and the lrate of consumlng qua ified iodine saIt was 93．56％ during the period of 1999～2007．The total goiter lrate decreased frOm 8．92％ to 6．82％ Iby paIpation，and frOm 8．13％ to 6．71％ by B—ultrasound．The medians of urinary iodine kept between 241．48 ug／L and 320．59 ug／L． Conclusions The goiter rate of children aged betweenI 8 and 10 years is in the stage of aiming at eliminating IDD in Sanmenxia．The iodine value in urine and the coverage of iodized salt in residents have reached the goal of eliminating IDD． Key words： lodine；Deficienc