固原市6～10岁儿童碘缺乏病防治效果剖析.docVIP

固原市6～10岁儿童碘缺乏病防治效果剖析 　　【摘要】 目的 了解固原市实施全民食盐加碘等综 合防治措施后人群碘营养状况，为碘缺乏病的防治提供依据。方法 在固 原市所辖的县区随机抽取3个县区进行儿童甲状腺肿大率、尿碘、不同层次 碘盐、不同人群健康知识等指标的现状调查。结果 6～10岁儿童甲状腺 肿大率由1998年的23.8%下降至2005年的6.2%，儿童尿碘合格率由44.4%上升至95.1%；居民 合格碘盐食用率由22.1%提高到?96.3%；健康知识问卷小学生及格率为91.9%，家庭主妇 及格率为55.1%。结论 固原市碘缺乏病防治工作取得了明显成效，儿童 碘缺乏病状况已得到显著改善。 　　【关键词】 碘；甲状腺肿；预防卫生服务；结果评价(卫生保健)；儿童 　　【中图分类号】 R 179 R 153.2 R 591.1 【文献标识码】 A 【文章编号】1000-9817(2007)10-0907-02 　　Analysis of the Effects of the Prevention and Control of the Iodine DifficiencyAmong the Children aged from 6 to 10 in Guyuan City/CAI Ju-min?*, FANGMing, YANG Gui-ling, et al. ?* Ningxia Medical College, Yinchuan(750021), C hina 　　【Abstract】 Objective To get to know the iodine nutritional c ondition of the peopleafter the integrated measures were taken to prevent and treat the iodine diffic iency by adding iodine into the salt in Guyuan city, and thus to provide basis f or the prevention and treatment of iodine difficiency. MethodsTotally 480 infants were randomly chosen from 3 out of 6 counties(districts), an d then indicators such as thyromeg aly rate, urinary iodine, iodized salt of different levels and the healthy knowl edge are investigated. Results The thyromegaly rate declinedfrom 23.8% in 1998to 6.2% in 2005 through palpation, and the urinary iodine ascent from 87.1 μg/ L to 293.6 μg/L of the enfants aged from 6 to 10 years old.The consumption rateof qualified iodined salt increased from ?22.1% to 96.3%. The pass rate of theinve stigation questionnaire are 91.9% and 55.1% of the pupils and housewives respect ively. Conclusion Obvious effect has been achieved through 7 ye ars, and the situation of the childrens iodine difficiency has been greatly imp roved. 　　【Key words】 Iodine;Goiter;Preventive health services;Outcomeassessment(health care);Child 　　 　　固原市位于宁夏南部山区，是宁夏碘缺乏病较严重的市区之一。自1964年起宁夏回族自 治区对 该市严重病区长期供应了碘化钾碘盐，从1998年3月开始对供应碘化钾碘盐的县市进行抽样 调查［1］。为掌握碘缺乏病的防治效果，2005年3月对固原市6～10岁儿童碘缺乏 病再进行抽样调查，将主要项目与1998年3月抽样调查资料进行对比，现报道如下。 　　 　　1 对象与方法 　　 　　1.1 对象