2005年安徽省碘缺乏病监测结果分析  

lodine deficiency disorders： an analysis of the outcome of the surveillance in Anhui Province in 2005

作　　者：张建勤[1] 李卫东[1] 赵立胜[1] 孙瑞发[1] 王玲俐 秦克彬[3] 李春[1] 

机构地区：[1]安徽省疾病预防控制中心地方病科,合肥230061 [2]安徽省全椒县卫生防疫站 [3]安徽省淮南市疾病预防控制中心

出　　处：《中国地方病学杂志》2007年第2期179-181,共3页Chinese Jouranl of Endemiology

基　　金：卫生部疾病控制司委托项目（2005）

摘　　要：目的了解安徽省实现消除碘缺乏病阶段目标后碘缺乏病防治工作现状，掌握碘缺乏病病情的消长趋势。方法按人口比例概率抽样方法确定监测对象，触诊法和B超法检查8～10岁儿童甲状腺大小；用直接滴定法（GB/T13025．7-1999）检测食盐含碘量，用酸消化砷铈接触分光光度法测定尿碘。结果8～10岁儿童尿碘中位数为311．7μg／L，其中〈50μg／L的2份，占0．55％；〈100μg／L的29份，占8．03％。8～10岁儿童甲状腺肿大率触诊法为3．33％，B超法为3．73％。合格碘盐食用率95．5％，碘盐覆盖率97．6％。儿童智商均值98．22。碘缺乏病防治知识知晓率学生组为86．3％，家庭主妇组为100％。结论安徽省儿童碘营养水平充足：安徽省已达到消除碘缺乏病各项指标。Objective To explore the present situation the tend of prevalence of iodine deficiency disorders （IDD） in our province after gradually achieving the aims of IDD elimination. Methods According to the standard set up by The Fifth National IDD Surveillance Scheme issued by The Ministry of Health of PRC, the surveillance was carried out by stratified sampling with probability proportional to size （PPS）. The size of thyroid gland was measured by palpation and B-ultrasound. The acid digest arsenic-cerium contacting method was used to determine urinary iodine level, and iodine level in salt was detected using direct titration method （GBrF 13025.7-1999）. Results The median of urinary iodine in children aged 8- 10 was 311.7 g/L, it was lower than 50 μg/L in 0.55% of the children（2 urinary samples）, and was lower than 100 μg/L in 8.03% of the children （29 urinary samples）. The prevalence rate of goiter in children aged 8 - 10 was 3.33% detected by palpation and 3.73% by B-ultrasound. The qualified iodized- salt rate was 95.5%, iodized-salt covered 97.6% of the population ; The mean of intelligence quotient was 98.22 ; The awareness rate of IDD relative knowledge in primary school pupils of the fifth grade and rural housewives was 86.3% and 100%, respectively. Conchmions Children in Anhui Province are sufficiently nourished with iodine; Each indicator meets the national standardization of IDD elimination in Anhui Province.

关 键 词：碘 缺乏症 盐 尿 监测 

分 类 号：R686[医药卫生—骨科学]