福州市保持碘缺乏病消除状态考评结果分析  

Analysis of the assessment results on maintaining the elimination status of iodine deficiency disorders in Fuzhou City

作　　者：曹祥玉 廖冬冬[1] 张晓阳 徐幽琼[1] Cao Xiangyu;Liao Dongdong;Zhang Xiaoyang;Xu Youqiong(Department for Endemic and Chronic Diseases Prevention and Control,the Affiliated Fuzhou Center for Disease Control and Prevention of Fujian Medical University,Fuzhou 350209,China)

机构地区：[1]福建医科大学附属福州市疾病预防控制中心地慢病防治科,福州350209

出　　处：《中华地方病学杂志》2023年第10期794-798,共5页Chinese Journal of Endemiology

基　　金：福州市卫生健康科技计划项目(2019-S-wp5)

摘　　要：目的了解福州市实现消除碘缺乏病阶段目标后各项防治措施落实情况,以评价防治效果。方法2020年9月,对福州市所辖12个县(市、区)碘缺乏病消除工作进行考核评估,具体参照《碘缺乏病消除评价内容及判定标准》(2019年版)。使用消除碘缺乏病目标评价表,对2016-2020年12个县(市、区)的组织领导、监测和防治措施、碘盐管理、健康教育4项管理指标进行考评。采用分层随机抽样方法,在每个县(市、区)抽取2个乡镇/街道,每个乡镇/街道抽检20名孕妇;同时在每个乡镇/街道抽取2个村/居委会,每个村/居委会抽检20名8~10周岁儿童(年龄均衡、男女各半)。采集儿童及孕妇家中食用盐盐样和即时尿样,检测盐碘、尿碘含量;采用孕妇补碘率调查表调查孕妇补碘情况;采用B超法检查儿童甲状腺肿大情况。结果各县(市、区)管理指标得分均>85分,平均得分为92.75分,评分最高的是长乐区(98分)、最低的是台江区(90分)。全市共采集并检测1457份居民家中食用盐盐样,其中8~10周岁儿童家中食用盐盐样967份,孕妇家中食用盐盐样490份。盐碘中位数为24.24 mg/kg,碘盐覆盖率为93.62%(1364/1457),碘盐合格率为97.80%(1334/1364),合格碘盐覆盖率为91.56%(1334/1457)。除鼓楼区(88.33%,106/120)、台江区(85.00%,102/120)、马尾区(86.67%,104/120)、长乐区(89.34%,109/122)及闽清县(88.43%,107/121)合格碘盐覆盖率<90%外,其余县(市、区)合格碘盐覆盖率均>90%。共采集儿童尿样967份,尿碘中位数为187.80μg/L,各县(市、区)儿童尿碘中位数范围为140.08~269.70μg/L。共检查967例儿童甲状腺,甲状腺肿大率为0.72%(7/967),各县(市、区)儿童甲状腺肿大率范围为0~2.44%。共采集孕妇尿样490份,尿碘中位数为148.48μg/L,其中鼓楼区(184.23μg/L)、马尾区(262.85μg/L)、晋安区(176.80μg/L)、罗源县(166.60μg/L)及永泰县(157.62μg/L)孕妇尿碘中位数>150μg/L,其余县(市、区)孕妇Objective To learn about the implementation of various prevention and control measures after achieving the stage goal of eliminating iodine deficiency disorders(IDD)in Fuzhou City,and to evaluate the prevention and control effect.Methods In September 2020,an assessment and evaluation was conducted on elimination of IDD in 12 counties(cities,districts)under the jurisdiction of Fuzhou City,with specific reference to the"Evaluation Content and Judgment Standards for Elimination of Iodine Deficiency Disorders"(2019 version).Using the target evaluation table for eliminating IDD,4 management indicators of organizational and leadership,monitoring and prevention measures,iodized salt management and health education in 12 counties(cities,districts)from 2016 to 2020 were evaluated.Using stratified random sampling method,2 townships/streets were selected from each county(city,district),and 20 pregnant women were sampled from each township/street.At the same time,two villages(neighborhood committees)were randomly selected from each township/street,and 20 children aged 8-10(age balanced,half male and half female)were randomly selected from each village(neighborhood committee).The edible salt samples and instant urine samples of children and pregnant women were collected to detect the contents of salt iodine and urinary iodine;the iodine supplementation status of pregnant women was investigated by iodine supplementation rate questionnaire;the goiter in children was measured by B-ultrasound.Results The management indicators scores of all 12 counties(cities,districts)were>85 points,with an average score of 92.75 points.Changle District had the highest score(98 points),and Taijiang District had the lowest score(90 points).A total of 1457 household salt samples were collected and tested in the city,including 967 samples from children aged 8-10 and 490 samples from pregnant women.The median salt iodine was 24.24 mg/kg,and the coverage rate of iodized salt was 93.62%(1364/1457).The qualified rate of iodized salt was 97.80%(1334/1364

关 键 词：碘 缺乏症 消除 考核评估 

分 类 号：R599[医药卫生—内科学] R181.8[医药卫生—临床医学]