甘肃省临夏回族自治州碘缺乏病病情调查  

Investigation report of iodine deficiency disorders in Linxia, Gansu Province

作　　者：苏晓辉[1] 刘守军[1] 张育新[2] 杨海霞[2] 王斌[2] 王蔚华[2] 李谦[2] 

机构地区：[1]哈尔滨医科大学中国疾病预防控制中心地方病控制中心,150086 [2]甘肃省疾病预防控制中心

出　　处：《中国地方病学杂志》2005年第3期297-299,共3页Chinese Jouranl of Endemiology

基　　金：中国疾病预防控制中心委托项目(2004)

摘　　要：目的了解销售工业盐的临夏回族自治州碘缺乏病病情。方法在临夏回族自治州的临夏、和政和康乐3个县共选8～10岁小学生1258名,孕妇、乳母121人,用便携式B超机检测甲状腺大小;采集孕妇、乳母尿样及当地饮用水水样,采用砷铈催化分光光度法检测尿碘,硫酸铈催化分光光度法检测水碘。结果8～10岁儿童甲状腺肿大率(甲肿率)为17.6%;乳母、孕妇甲肿率为8.3%;孕妇尿碘中位数为76.8μg/L,乳母尿碘中位数为70.9μg/L,二者均<100μg/L;3个县水碘平均为0.22μg/L。结论目前临夏州地方性甲状腺肿病情严重,应在甲肿率>20%的学校投服碘油丸,同时加大健康教育的力度及在这些地区实施碘油与碘盐并重的策略。Objective To investigate the IDD prevailing status in Linxia Pref ecture, Gansu Province. Methods one thousand two hundred fifty eight pupils ag ed 8 ～ 10 years and 121 pregnant and lactating women were selected randomly in Linxia, Hezheng and Kangle counties. Thyroid volume was measured by portable B-u ltrasound. Urinary samples from pregnant and lactation period women and local wa ter samples were determined with national standard method. Results The total g oiter rate by B-ultrasound in pupils was 16.9%, and 8.3% in pregnant and lactati ng women respectively. The median urinary iodine of pregnant and lactating women was 76.8 μg/L and 70.9 μg/L, respectively. Water iodine was 0.22 μg/L at ave rage level. Conclusions The goiter prevalence is severe. Therefore, taking io dized oil pills is as important as iodization of salt. Pregnant women and pupils in the school where goiter prevalence is over 20% must take iodized oil pills. And health education on control of iodine deficiency disorders should be strengt hened.

关 键 词：甲状腺肿 地方性 尿碘 甘肃 临夏回族自治州 碘缺乏病 

分 类 号：R599[医药卫生—内科学]