济南市水源性高碘地区分布及其流行病学调查.docVIP

济南市水源性高碘地区分布及其流行病学调查 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：济南市水源性高碘地区分布及其流行病学调查 1 1 材料与方法 2 2 结果 4 3 讨论 5 文2：济南市老年人慢性病流行病学调查及相关因素分析 6 1 研究对象与方法 6 2 慢性病的患病情况及相关因素分析 7 3 讨论 8 参考文摘引言： 8 原创性声明（模板） 10 文章致谢（模板） 10 正文 济南市水源性高碘地区分布及其流行病学调查 文1：济南市水源性高碘地区分布及其流行病学调查 Regional distribution of iodine excess in drinking water and its epidemiology in Jinan Abstract： Objective To master the present conditio of iodine excess and its epidemiology in Jinan city,for providing the evidence for A cross section was adopted for the epidemiological survey in all of towhips from 2 samples of drinking water from each village were tested for water iodine content as well as the data regarding to their resoues and the depth of samples of edible salt were collected for quantitative analysis at each Twenty-nine towhips were hundred and seventy six samples of drinking water were tested,in which values of iodine content were(±)μg/L in mean,μg/L (/L) in rate of iodized salt is %.About twenty thousand people were at risk for iodine excess arid living in 7 towhips where iodine concentration was over 150μg/L in drinking of them were mainly located in alluvial plain of Yellow was positive relatiohip between content of iodine water and its depth of medium of urinary iodine in 725 inhabitants from 29 towhips were μg/L (μg/L).Thyroid goiter rate(TGR) of 725 subjects was %.Conclusion There were 7 areas with iodine excess in drinking water in was in normal range,but the nutrition level of iodine was excess in was suggested that iodized salt supply should be stopped in 7 towhips and taking different strategies agait iodine deficiency or iodine excess in the city. Key words： drinking water;iodine;excess;epidemiology 20世纪90年代，河北、山东省陆续在渤海平原发现水源性高碘性甲状腺肿流行地区〔1，2〕。 历史 上山东高碘危害地区集中分布在德州、滨州地区。1998年《山东省实施(食盐加碘消除碘缺乏危害管理条例)办法》未把地处鲁北平原的济南市商河、济阳2个县列为碘缺乏地区，却实施了碘盐供应。为掌握该地高碘地区分布及其流行病学状况，在2个县进行调查。结果报告如下。 1 材料与方法 11 地理概况 济南市辖6区1市3县，地势南高北低，处在鲁中丘陵与鲁北冲积平原的交接地带，兼有山麓与平原低地。仅有济阳、商河2个县全为平原地